Healthcare Provider Details

I. General information

NPI: 1285251629
Provider Name (Legal Business Name): ENVOYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 ELM TREE DR
OCEANSIDE CA
92056-3570
US

IV. Provider business mailing address

4819 ELM TREE DR
OCEANSIDE CA
92056-3570
US

V. Phone/Fax

Practice location:
  • Phone: 888-411-6028
  • Fax:
Mailing address:
  • Phone: 888-411-6028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRACY REYES
Title or Position: OWNER
Credential:
Phone: 888-411-6028