Provider Demographics
NPI:1871139568
Name:ANGEL CARE TRANSPORTATION SERVICES LLC.
Entity type:Organization
Organization Name:ANGEL CARE TRANSPORTATION SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-398-5820
Mailing Address - Street 1:11736 CAMBIUM CROWN DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5709
Mailing Address - Country:US
Mailing Address - Phone:863-398-5820
Mailing Address - Fax:
Practice Address - Street 1:11736 CAMBIUM CROWN DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5709
Practice Address - Country:US
Practice Address - Phone:863-398-5820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNONE