Healthcare Provider Details

I. General information

NPI: 1659216042
Provider Name (Legal Business Name): LIFECARE MOBILITY & COURIER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12602 KINGSVIEW ST
BOWIE MD
20721-2029
US

IV. Provider business mailing address

12602 KINGSVIEW ST
BOWIE MD
20721-2029
US

V. Phone/Fax

Practice location:
  • Phone: 301-281-3274
  • Fax:
Mailing address:
  • Phone: 301-281-3274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL DARAMOLA
Title or Position: OWNER
Credential:
Phone: 301-281-3274