Provider Demographics
NPI:1861188112
Name:EXPEDITCARE LLC
Entity type:Organization
Organization Name:EXPEDITCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANOSKI
Authorized Official - Middle Name:ALEXEY
Authorized Official - Last Name:BATISTA TURRUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-656-3500
Mailing Address - Street 1:204 N L ST APT E
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-5965
Mailing Address - Country:US
Mailing Address - Phone:786-656-3500
Mailing Address - Fax:
Practice Address - Street 1:204 N L ST APT E
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-5965
Practice Address - Country:US
Practice Address - Phone:786-656-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)