Healthcare Provider Details

I. General information

NPI: 1548845787
Provider Name (Legal Business Name): CARE CONNECTION TRANSPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 PREISKER LN STE A
SANTA MARIA CA
93454-1138
US

IV. Provider business mailing address

2035 PREISKER LN STE A
SANTA MARIA CA
93454-1138
US

V. Phone/Fax

Practice location:
  • Phone: 805-934-0592
  • Fax:
Mailing address:
  • Phone: 805-934-0592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: NANCY CRAWFORD
Title or Position: OWNER
Credential:
Phone: 805-717-1060