=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275762072
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | I KARE TRANSPORTATION, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2009
-----------------------------------------------------
Last Update Date | 07/14/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 538 KELLY GREEN ST
-----------------------------------------------------
City | OVIEDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32765-8988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-359-9480
-----------------------------------------------------
Fax | 407-359-1035
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 538 KELLY GREEN ST
-----------------------------------------------------
City | OVIEDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32765-8988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-359-9480
-----------------------------------------------------
Fax | 407-359-1035
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY
-----------------------------------------------------
Name | MR. JAMES THOMAS JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-365-7201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 347C00000X
-----------------------------------------------------
Taxonomy Name | Private Vehicle
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------