Healthcare Provider Details

I. General information

NPI: 1376480863
Provider Name (Legal Business Name): PREMIER CARE TRANSPORT GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3089 OCEANSIDE RD
OCEANSIDE NY
11572-4226
US

IV. Provider business mailing address

3089 OCEANSIDE RD
OCEANSIDE NY
11572-4226
US

V. Phone/Fax

Practice location:
  • Phone: 516-410-0258
  • Fax:
Mailing address:
  • Phone: 516-410-0258
  • Fax:

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: MS. UTEPSIE LANIER
Title or Position: OWNER
Credential:
Phone: 516-410-0258