MEDICARE: CARE PLUS TRANSPORTATION

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	:	1568087617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS TRANSPORTATION

Provider Business Mailing Address
First Line	:	2752 MACON DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2167
Country	:	US
Telephone Number	:	916-296-1456
Fax Number	:	916-415-5054

Provider Business Practice Location Address
First Line	:	45 GOLDEN LAND CT STE 140
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2442
Country	:	US
Telephone Number	:	916-612-9720
Fax Number	:	916-415-5054

Authorized Official
Title or Position	:	CEO
Name	:	MUSHIRA MUSTAFA
Credential	:
Telephone Number	:	916-296-1456

Provider Enumeration Date	:	06/15/2020
Last Update Date	:	06/15/2020

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Directions to “CARE PLUS TRANSPORTATION ” Practice Location

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