Provider Demographics
NPI:1306544788
Name:MADI CARE NON EMERGENCY TRANSPORTATION LLC
Entity type:Organization
Organization Name:MADI CARE NON EMERGENCY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-999-2470
Mailing Address - Street 1:17808 GLEN HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-8829
Mailing Address - Country:US
Mailing Address - Phone:310-999-2470
Mailing Address - Fax:
Practice Address - Street 1:17808 GLEN HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-8829
Practice Address - Country:US
Practice Address - Phone:310-999-2470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)