Provider Demographics
NPI:1104610187
Name:T CARE TRANSPORT SERVICES LLC
Entity type:Organization
Organization Name:T CARE TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOMAS ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:FULGENTES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:805-864-6338
Mailing Address - Street 1:4375 ADAM RD
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2343
Mailing Address - Country:US
Mailing Address - Phone:805-404-6456
Mailing Address - Fax:
Practice Address - Street 1:4375 ADAM RD
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2343
Practice Address - Country:US
Practice Address - Phone:805-404-6456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)