Healthcare Provider Details
I. General information
NPI: 1124307996
Provider Name (Legal Business Name): AMERICARE TRANSIT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2011
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 WRIGHTSBORO RD
AUGUSTA GA
30904-4075
US
IV. Provider business mailing address
3615 MELBOURNE DR
AUGUSTA GA
30906-4636
US
V. Phone/Fax
- Phone: 706-833-7506
- Fax:
- Phone: 706-833-7506
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERYL
J.
LOVETT
Title or Position: PRESIDENT
Credential:
Phone: 706-833-7506