Caravan Care

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

00010335 Issued in CA

Legal business name

CARAVAN CARE

Practice address

20303 Otoe Rd
Apple Valley, CA 92307-1799

Phone

(760) 265-7981

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jamaal D Halleck

Title

General Partner

Phone

(760) 265-7981

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1922336858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1965",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070038",
            "telephone_number": "760-265-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 OTOE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071799",
            "telephone_number": "760-265-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARAVAN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "HALLECK",
        "authorized_official_first_name": "JAMAAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "760-265-7981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "00010335",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "BSL09-01330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilena Campfield, RN
• Ivan Manuel Campos
• Devon Canfield, PMHNP-BC
• Adam James Capps
• Cindy Ruth Carasa
• Care Management Group, Inc. (Dura Medix)
• Caremore Health Plan
• Carewell Medical Group Inc
• Dominador Frederick P Cariaso Jr., M.D.
• Caring Hands Elderly Care

• Non-emergency Medical Transport (VAN) in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.