Healthcare Provider Details

I. General information

NPI: 1396743225
Provider Name (Legal Business Name): AMERICARE MEDSERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 E BEDMAR ST
CARSON CA
90746-3601
US

IV. Provider business mailing address

1059 E BEDMAR ST
CARSON CA
90746-3601
US

V. Phone/Fax

Practice location:
  • Phone: 310-835-9390
  • Fax: 310-835-3926
Mailing address:
  • Phone: 310-835-9390
  • Fax: 310-835-3926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberA137
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MIKE SCOTT SUMMERS
Title or Position: PRESIDENT/CEO
Credential: EMT
Phone: 714-848-4273