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NPI Code Detail

MEDICARE: UMBRELLA CARE

MEDICARE: UMBRELLA CARE
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
1347C00000XPrivate Vehicle
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1487320800
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMBRELLA CARE
Provider Business Mailing Address
First Line : 10136 BRENNA WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5957
Country : US
Telephone Number : 650-222-3755
Fax Number :
Provider Business Practice Location Address
First Line : 9245 LAGUNA SPRINGS DR STE 200
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7991
Country : US
Telephone Number : 650-222-3755
Fax Number :
Authorized Official
Title or Position : CEO
Name : IBRAHIM BASMA
Credential :
Telephone Number : 650-222-3755
Provider Enumeration Date : 08/17/2021
Last Update Date : 10/09/2021

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Directions to “UMBRELLA CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.