Healthcare Provider Details

I. General information

NPI: 1073440194
Provider Name (Legal Business Name): PROMPTCARE TRANSPORTATION SERVICE MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1946 FEATHERBED LN
GWYNN OAK MD
21207-4100
US

IV. Provider business mailing address

1946 FEATHERBED LN
GWYNN OAK MD
21207-4100
US

V. Phone/Fax

Practice location:
  • Phone: 443-739-8702
  • Fax:
Mailing address:
  • Phone: 443-739-8702
  • 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: KENIA LONG
Title or Position: DIRECTOR OF ADMINISTRATION AND HR
Credential:
Phone: 717-701-6828