MEDICARE: A TRIANGLE CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	372600000X	Adult Companion
3	3747P1801X	Personal Care Attendant
4	385HR2055X	Child Mental Illness Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003202029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TRIANGLE CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	7708 RIFFLE LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-1200
Country	:	US
Telephone Number	:	407-202-6418
Fax Number	:	954-212-0227

Provider Business Practice Location Address
First Line	:	7708 RIFFLE LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-1200
Country	:	US
Telephone Number	:	407-202-6418
Fax Number	:	954-212-0227

Authorized Official
Title or Position	:	CEO
Name	:	EVA AUGUSTINE
Credential	:
Telephone Number	:	407-202-6418

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	04/07/2015

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Directions to “A TRIANGLE CARE SERVICES, LLC ” Practice Location

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