MEDICARE: CARE AMERICA TRANSPORTATION INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1295068518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AMERICA TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	415 E HARVARD ST
Second Line	:	SUITE 200
City	:	GLENDALE
State	:	CA
Zip	:	91205-1057
Country	:	US
Telephone Number	:	323-874-0024
Fax Number	:	323-874-0026

Provider Business Practice Location Address
First Line	:	415 E HARVARD ST
Second Line	:	SUITE 200
City	:	GLENDALE
State	:	CA
Zip	:	91205-1057
Country	:	US
Telephone Number	:	323-874-0024
Fax Number	:	323-874-0026

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARMENAK HAMBARDZUMYAN
Credential	:
Telephone Number	:	323-874-0024

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	01/31/2015

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