Healthcare Provider Details

I. General information

NPI: 1255084349
Provider Name (Legal Business Name): NON-EMERGENCY MEDICAL CARRIERS TRANSPORTATION AND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 19TH ST N STE 2176
BIRMINGHAM AL
35203-3161
US

IV. Provider business mailing address

120 19TH ST N STE 2176
BIRMINGHAM AL
35203-3161
US

V. Phone/Fax

Practice location:
  • Phone: 205-460-9855
  • Fax:
Mailing address:
  • Phone: 205-460-9855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: EBONI LOVELACE
Title or Position: OWNER
Credential:
Phone: 205-460-9855