=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861520272
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCESS2CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 10/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16 HAWK RIDGE CIR
-----------------------------------------------------
City | LAKE ST LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63367-1861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-561-5686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16 HAWK RIDGE CIR
-----------------------------------------------------
City | LAKE ST LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63367-1861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-561-5686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ALAINA MACIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 636-561-5686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------