Organization Active NPI

Mobile Care Transport Inc

  • Non-emergency Medical Transport (VAN)
  • Sacramento, CA
National Provider Identifier
1396005385
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MOBILE CARE TRANSPORT INC
Practice address
7200 Jacinto Ave
#15205
Sacramento, CA 95823-7555
Phone
(916) 501-7732
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dackery Glenn Hardeman
Title
President
Phone
(916) 501-7732

Specialties & licenses 1

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

Addresses

Primary practice location

7200 Jacinto Ave
#15205
Sacramento, CA 95823-7555

Mailing address

8250 Calvine Rd
Box 253
Sacramento, CA 95828-9313
Phone (916) 501-7732

National Provider Directory

National Provider Directory

Locations

8250 Calvine Rd
#253
Sacramento, CA 95828

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1396005385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 CALVINE RD",
            "address_2": "BOX 253",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958289313",
            "telephone_number": "916-501-7732",
            "fax_number": "916-583-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 JACINTO AVE",
            "address_2": "#15205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958237555",
            "telephone_number": "916-501-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "HARDEMAN",
        "authorized_official_first_name": "DACKERY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-501-7732"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.