Healthcare Provider Details

I. General information

NPI: 1861520272
Provider Name (Legal Business Name): ACCESS2CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HAWK RIDGE CIR
LAKE ST LOUIS MO
63367-1861
US

IV. Provider business mailing address

16 HAWK RIDGE CIR
LAKE ST LOUIS MO
63367-1861
US

V. Phone/Fax

Practice location:
  • Phone: 636-561-5686
  • Fax:
Mailing address:
  • Phone: 636-561-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ALAINA MACIA
Title or Position: CEO
Credential:
Phone: 636-561-5686