Provider Demographics
NPI:1447964325
Name:AMERICAN CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:AMERICAN CARE TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDIFITAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-242-5998
Mailing Address - Street 1:14591 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5725
Mailing Address - Country:US
Mailing Address - Phone:218-812-9992
Mailing Address - Fax:
Practice Address - Street 1:14591 GRAND AVE STE 205
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5725
Practice Address - Country:US
Practice Address - Phone:218-812-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN CARE TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-06
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)