Provider Demographics
NPI:1669718011
Name:WECARE MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:WECARE MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEMMALYN
Authorized Official - Middle Name:ANONUEVO
Authorized Official - Last Name:HEWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-226-0803
Mailing Address - Street 1:1520 STONEMOSS CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5731
Mailing Address - Country:US
Mailing Address - Phone:757-226-0803
Mailing Address - Fax:
Practice Address - Street 1:1520 STONEMOSS CT
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5731
Practice Address - Country:US
Practice Address - Phone:757-226-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)