Provider Demographics
NPI:1609758549
Name:ICARE RIDE SERVICES NEMT
Entity type:Organization
Organization Name:ICARE RIDE SERVICES NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-300-1591
Mailing Address - Street 1:4500 HUGH HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4723
Mailing Address - Country:US
Mailing Address - Phone:678-300-1591
Mailing Address - Fax:
Practice Address - Street 1:4500 HUGH HOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4723
Practice Address - Country:US
Practice Address - Phone:678-300-1591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)