Healthcare Provider Details

I. General information

NPI: 1295068518
Provider Name (Legal Business Name): CARE AMERICA TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 01/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E HARVARD ST SUITE 200
GLENDALE CA
91205-1057
US

IV. Provider business mailing address

415 E HARVARD ST SUITE 200
GLENDALE CA
91205-1057
US

V. Phone/Fax

Practice location:
  • Phone: 323-874-0024
  • Fax: 323-874-0026
Mailing address:
  • Phone: 323-874-0024
  • Fax: 323-874-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. ARMENAK HAMBARDZUMYAN
Title or Position: PRESIDENT
Credential:
Phone: 323-874-0024