Provider Demographics
NPI:1962939520
Name:AMERICARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:AMERICARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:845-292-0105
Mailing Address - Street 1:87 RADCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12734-5300
Mailing Address - Country:US
Mailing Address - Phone:845-292-0105
Mailing Address - Fax:845-292-7040
Practice Address - Street 1:87 RADCLIFF RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:NY
Practice Address - Zip Code:12734-5300
Practice Address - Country:US
Practice Address - Phone:845-292-0105
Practice Address - Fax:845-292-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03358183Medicaid