Provider Demographics
NPI:1285695320
Name:ALLCARE TRANSPORTATION, INC
Entity type:Organization
Organization Name:ALLCARE TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-462-5923
Mailing Address - Street 1:104 SAND PINE LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5615
Mailing Address - Country:US
Mailing Address - Phone:518-462-5923
Mailing Address - Fax:518-689-0203
Practice Address - Street 1:104 SAND PINE LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5615
Practice Address - Country:US
Practice Address - Phone:518-462-5923
Practice Address - Fax:518-689-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01242933343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01242933Medicaid