Healthcare Provider Details

I. General information

NPI: 1669037040
Provider Name (Legal Business Name): AMRANICHAUFFEURS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 RAILROAD ST
ANDOVER MA
01810-3595
US

IV. Provider business mailing address

22 RAILROAD ST APT 113
ANDOVER MA
01810-3533
US

V. Phone/Fax

Practice location:
  • Phone: 617-631-5109
  • Fax:
Mailing address:
  • Phone: 617-631-5109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. MAGHDA AMRANI-HANCHI
Title or Position: PRESIDENT
Credential:
Phone: 617-631-5109