MEDICARE: HUMANITY INC

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	:	1649781022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANITY INC

Provider Business Mailing Address
First Line	:	14351 QUAIL CT
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-3627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2367 STERLING AVE
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-4623
Country	:	US
Telephone Number	:	909-815-9484
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDWIN RUIZ
Credential	:
Telephone Number	:	909-815-9484

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	01/02/2020

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Directions to “HUMANITY INC ” Practice Location

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