MEDICARE: GOODWILL TRANSPORTATION SERVICES SC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1477259455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODWILL TRANSPORTATION SERVICES SC LLC

Provider Business Mailing Address
First Line	:	14361 OCEAN HWY STE 1A
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4806
Country	:	US
Telephone Number	:	800-721-1092
Fax Number	:

Provider Business Practice Location Address
First Line	:	14361 OCEAN HWY STE 1A
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4806
Country	:	US
Telephone Number	:	800-721-1092
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAQUEL THOMAS PURVIS
Credential	:
Telephone Number	:	336-587-8797

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	02/01/2023

Similar Medicare Providers

1437016011 — INTEGRITY IN-HOME CARE LLC
Practice Location Address:

14361 OCEAN HWY STE 304
PAWLEYS ISLAND, SC
29585-4806

Practice Phone: 843-314-9040
Practice Fax:

1669339651 — CALM TIDES PSYCHIATRY LLC
Practice Location Address:

14361 OCEAN HWY STE 318
PAWLEYS ISLAND, SC
29585-4806

Practice Phone: 843-284-6354
Practice Fax: 949-807-5670

1942942255 — ZYAIRE BURROUGHS
Practice Location Address:

14361 OCEAN HWY STE 304
PAWLEYS ISLAND, SC
29585-4806

Practice Phone: 843-318-0684
Practice Fax:

1942902705 — INTEGRITY IN-HOME CARE LLC
Practice Location Address:

14361 OCEAN HWY # 304
PAWLEYS ISLAND, SC
29585-4806

Practice Phone: 843-314-9040
Practice Fax:

1023803798 — AT HOME HEARING
Practice Location Address:

14361 OCEAN HWY STE 313
PAWLEYS ISLAND, SC
29585-4806

Practice Phone: 843-256-3544
Practice Fax:

1104344274 — IJEOMA TABANSI
Practice Location Address:

16 GADSEN PL
STATEN ISLAND, NY
10314-4806

Practice Phone: 917-841-4513
Practice Fax: 917-841-4513

Directions to “GOODWILL TRANSPORTATION SERVICES SC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.