Provider Demographics
NPI:1730435272
Name:CARE TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:CARE TRANSPORTATION SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TECLEMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-385-9157
Mailing Address - Street 1:6482 CATTLEMAN DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8553
Mailing Address - Country:US
Mailing Address - Phone:323-385-9157
Mailing Address - Fax:951-737-7972
Practice Address - Street 1:6482 CATTLEMAN DRIVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-8853
Practice Address - Country:US
Practice Address - Phone:323-385-9157
Practice Address - Fax:951-737-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201022810281343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)