Provider Demographics
NPI:1417776675
Name:SAMARA CARE
Entity type:Organization
Organization Name:SAMARA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-703-5345
Mailing Address - Street 1:2844 LIVERNOIS RD UNIT 576
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-7723
Mailing Address - Country:US
Mailing Address - Phone:248-703-5345
Mailing Address - Fax:
Practice Address - Street 1:2844 LIVERNOIS RD UNIT 576
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48099-7723
Practice Address - Country:US
Practice Address - Phone:248-703-5345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)