Healthcare Provider Details

I. General information

NPI: 1982062220
Provider Name (Legal Business Name): SIFA TRANSMED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E BEAVER CT
BEAR DE
19701-1089
US

IV. Provider business mailing address

PO BOX 7520
NEWARK DE
19714-7520
US

V. Phone/Fax

Practice location:
  • Phone: 302-322-1346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2016600858
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2016600857
License Number StateDE

VIII. Authorized Official

Name: ANN K. KARANJA
Title or Position: DIRECTOR, PATIENT CARE
Credential: RN
Phone: 302-565-9926