Provider Demographics
NPI:1710735030
Name:BOSTON CARE TRANSPORT LLC
Entity type:Organization
Organization Name:BOSTON CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDAOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-666-1601
Mailing Address - Street 1:11 FREDERICK AVE
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1017
Mailing Address - Country:US
Mailing Address - Phone:781-666-1601
Mailing Address - Fax:
Practice Address - Street 1:11 FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1017
Practice Address - Country:US
Practice Address - Phone:781-666-1601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)