=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750105078
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALWAYS CARING TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2024
-----------------------------------------------------
Last Update Date | 11/13/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2133 VIRAZON DR
-----------------------------------------------------
City | LA HABRA HEIGHTS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90631-7782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-569-0155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2133 VIRAZON DR
-----------------------------------------------------
City | LA HABRA HEIGHTS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90631-7782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-569-0155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JAVIER BUSTAMANTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 562-569-0155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------