Healthcare Provider Details

I. General information

NPI: 1881022978
Provider Name (Legal Business Name): HANDICARE PATIENT TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6735 VAN NUYS BLVD # 203D
VAN NUYS CA
91405-4645
US

IV. Provider business mailing address

6735 VAN NUYS BLVD # 203D
VAN NUYS CA
91405-4645
US

V. Phone/Fax

Practice location:
  • Phone: 818-387-8994
  • Fax: 800-866-2061
Mailing address:
  • Phone: 818-433-1951
  • Fax: 866-206-1991

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 Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JAMSHID MR JOU
Title or Position: PRESIDENT
Credential:
Phone: 818-433-1951