MEDICARE: TRANSCAPABLE, 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	:	1831665777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCAPABLE, LLC

Provider Business Mailing Address
First Line	:	2824 CHURCH ST
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3257
Country	:	US
Telephone Number	:	404-451-8533
Fax Number	:

Provider Business Practice Location Address
First Line	:	2824 CHURCH ST
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3257
Country	:	US
Telephone Number	:	404-451-8533
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RHONDA BRYANT
Credential	:
Telephone Number	:	404-451-8533

Provider Enumeration Date	:	10/18/2018
Last Update Date	:	10/18/2018

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