=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235044652
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LCY FAMILY CARE TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2026
-----------------------------------------------------
Last Update Date | 08/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9900 N KENDALL DR
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-1773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-874-6176
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9900 N KENDALL DR K 206
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-1773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-874-6176
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MGR
-----------------------------------------------------
Name | MR. LUIS CARLOS CARLOS PENA ALCOLEA SR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-874-6176
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------