Healthcare Provider Details

I. General information

NPI: 1235045378
Provider Name (Legal Business Name): EXPRESS CARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 SEWARD ST
OMAHA NE
68104-4766
US

IV. Provider business mailing address

5715 S 161ST ST # NEUSA
OMAHA NE
68135-2953
US

V. Phone/Fax

Practice location:
  • Phone: 531-772-7177
  • Fax: 531-248-3535
Mailing address:
  • Phone: 531-772-7177
  • Fax: 531-248-3535

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: MR. DALER USMANOV
Title or Position: OWNER
Credential:
Phone: 531-375-8157