Healthcare Provider Details

I. General information

NPI: 1962227694
Provider Name (Legal Business Name): TERRA NEXUS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S KANDARIAN AVE
FOWLER CA
93625-4437
US

IV. Provider business mailing address

720 S KANDARIAN AVE
FOWLER CA
93625-4437
US

V. Phone/Fax

Practice location:
  • Phone: 559-803-8038
  • Fax:
Mailing address:
  • Phone: 559-803-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TERINDER SIHOTA
Title or Position: OWNER
Credential:
Phone: 559-803-8038