MEDICARE: 808 MED-KARE TRANSPORT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073439964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	808 MED-KARE TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	91-1106 HAMANA ST APT D
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-4113
Country	:	US
Telephone Number	:	808-830-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1106 HAMANA ST APT D
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-4113
Country	:	US
Telephone Number	:	808-830-0965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KELLY H FLORES
Credential	:
Telephone Number	:	808-384-6602

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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