1619027984 NPI number — AVAILABLE CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619027984 NPI number — AVAILABLE CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AVAILABLE CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AVAILABLE CARE MEDICAL TRANSPORTATION
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619027984
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9649
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELIZABETH
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07202-0649
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-613-1616
Provider Business Mailing Address Fax Number:
732-613-2626

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
440 S MAIN ST
Provider Second Line Business Practice Location Address:
2ND FL
Provider Business Practice Location Address City Name:
MILLTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08850-1725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-613-1616
Provider Business Practice Location Address Fax Number:
732-613-2626
Provider Enumeration Date:
01/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SHTEKEL
Authorized Official First Name:
IGOR
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
732-613-1616

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  AVAIL039 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 343900000X , with the licence number: AVAIL039 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6880100 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01895225 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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