Healthcare Provider Details

I. General information

NPI: 1922404326
Provider Name (Legal Business Name): ASSISTED MULTICARE TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 WALKER AVE SUITE 302
PIKESVILLE MD
21208-4075
US

IV. Provider business mailing address

5433 CANONBURY RD
ROSEDALE MD
21237-4908
US

V. Phone/Fax

Practice location:
  • Phone: 240-421-5525
  • Fax: 410-775-5888
Mailing address:
  • Phone: 240-421-5525
  • Fax: 410-775-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. ARMEL C POSSI YEPMO
Title or Position: PRESIDENT
Credential:
Phone: 240-421-5525