Organization Active NPI

Extra Care Transportation,LLC

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1104178755
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXTRA CARE TRANSPORTATION,LLC
Practice address
800 Cottman Ave
B-173
Philadelphia, PA 19111-3056
Phone
(267) 970-6582
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Algassimu Monoma Bah
Title
President
Phone
(267) 970-6582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

800 Cottman Ave
B-173
Philadelphia, PA 19111-3056

Mailing address

800 Cottman Ave
B-173
Philadelphia, PA 19111-3056
Phone (267) 970-6582

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1104178755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTMAN AVE",
            "address_2": "B-173",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113056",
            "telephone_number": "267-970-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTMAN AVE",
            "address_2": "B-173",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113056",
            "telephone_number": "267-970-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE TRANSPORTATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "ALGASSIMU",
        "authorized_official_middle_name": "MONOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-970-6582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.