Healthcare Provider Details

I. General information

NPI: 1205014156
Provider Name (Legal Business Name): FIRST RATE CARE LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2008
Last Update Date: 02/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 FELLS DR
MANALAPAN NJ
07726-4155
US

IV. Provider business mailing address

32 FELLS DR
MANALAPAN NJ
07726-4155
US

V. Phone/Fax

Practice location:
  • Phone: 732-642-6370
  • Fax:
Mailing address:
  • Phone: 732-642-6370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNJ

VIII. Authorized Official

Name: YAKOV RUDIKH
Title or Position: MANAGER
Credential:
Phone: 732-642-6370