Healthcare Provider Details

I. General information

NPI: 1023312048
Provider Name (Legal Business Name): YAWAY DBA ABLE 24/7 TRANPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 WEBSTER ST 508
HAYWARD CA
94544-4271
US

IV. Provider business mailing address

1714 FRANKLIN ST #100-191
OAKLAND CA
94612-3488
US

V. Phone/Fax

Practice location:
  • Phone: 510-613-5783
  • Fax: 800-581-0586
Mailing address:
  • Phone: 510-613-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB3150769
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. MYISHA CARTWRIGHTGRANT
Title or Position: CEO
Credential:
Phone: 510-613-5783