Provider Demographics
NPI:1679340392
Name:SMARTCARE TRANSPORT LLC
Entity type:Organization
Organization Name:SMARTCARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOHANS
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-346-2107
Mailing Address - Street 1:14201 N INTERSTATE HWY 35 APT 2301
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4848
Mailing Address - Country:US
Mailing Address - Phone:737-346-2107
Mailing Address - Fax:
Practice Address - Street 1:14201 N INTERSTATE 35 APT 2301
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4848
Practice Address - Country:US
Practice Address - Phone:737-346-2107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No343800000XTransportation ServicesSecured Medical Transport (VAN)