Healthcare Provider Details

I. General information

NPI: 1386333433
Provider Name (Legal Business Name): AMB TRANSCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 N 27TH AVE STE 9
PHOENIX AZ
85017-1847
US

IV. Provider business mailing address

6300 N 27TH AVE STE 9
PHOENIX AZ
85017-1847
US

V. Phone/Fax

Practice location:
  • Phone: 480-306-1406
  • Fax:
Mailing address:
  • Phone: 480-306-1406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BASHAR KHALIL
Title or Position: OWNER
Credential:
Phone: 480-306-1406