Provider Demographics
NPI:1194500199
Name:MAKAYA CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:MAKAYA CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VALDO
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GAUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-213-1891
Mailing Address - Street 1:5993 NW 57TH CT APT A210
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2382
Mailing Address - Country:US
Mailing Address - Phone:754-213-1891
Mailing Address - Fax:
Practice Address - Street 1:5993 NW 57TH CT APT A210
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-2382
Practice Address - Country:US
Practice Address - Phone:754-213-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)