Provider Demographics
NPI:1972079887
Name:WHEELCHAIR TRANSPORTATION & HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:WHEELCHAIR TRANSPORTATION & HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BADETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-236-5039
Mailing Address - Street 1:1116 BAYWOOD DR APT 159
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-4398
Mailing Address - Country:US
Mailing Address - Phone:707-236-5039
Mailing Address - Fax:
Practice Address - Street 1:624 POWDERHORN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-2743
Practice Address - Country:US
Practice Address - Phone:707-236-5039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)