Healthcare Provider Details
I. General information
NPI: 1104754829
Provider Name (Legal Business Name): EASYCARE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
242 W VALLEY AVE STE 307
BIRMINGHAM AL
35209-3634
US
IV. Provider business mailing address
6646 NEWBRIDGE DR
BESSEMER AL
35022-2008
US
V. Phone/Fax
- Phone: 205-774-9941
- Fax:
- Phone: 205-774-9941
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELINDA
RICHARDSON
Title or Position: OWNER
Credential:
Phone: 205-774-9941