Healthcare Provider Details

I. General information

NPI: 1437971785
Provider Name (Legal Business Name): ACCESS CARE TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4124 QUEBEC AVE N
NEW HOPE MN
55427-1235
US

IV. Provider business mailing address

4124 QUEBEC AVE N
NEW HOPE MN
55427-1235
US

V. Phone/Fax

Practice location:
  • Phone: 952-240-0152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: ILYAS JAMA
Title or Position: CEO
Credential:
Phone: 952-240-0152