Provider Demographics
NPI:1366739161
Name:QUALITY CARE TRANSPORTATION COMPANY
Entity type:Organization
Organization Name:QUALITY CARE TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-965-2555
Mailing Address - Street 1:2549 S ADVENTURE TRL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-5204
Mailing Address - Country:US
Mailing Address - Phone:757-965-2555
Mailing Address - Fax:757-965-2555
Practice Address - Street 1:2549 S ADVENTURE TRL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5204
Practice Address - Country:US
Practice Address - Phone:757-965-2555
Practice Address - Fax:757-965-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA135051-0000-4700343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)