Provider Demographics
NPI:1730948613
Name:CAREPLUS MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:CAREPLUS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLI
Authorized Official - Middle Name:
Authorized Official - Last Name:EISSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-405-7577
Mailing Address - Street 1:140 E AVENUE R3
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-5277
Mailing Address - Country:US
Mailing Address - Phone:661-405-7577
Mailing Address - Fax:
Practice Address - Street 1:140 E AVENUE R3
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-5277
Practice Address - Country:US
Practice Address - Phone:661-405-7577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)