Healthcare Provider Details

I. General information

NPI: 1396684791
Provider Name (Legal Business Name): FOSTER CARES TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 IVY COTTAGE LN
AUSTELL GA
30106-2670
US

IV. Provider business mailing address

1025 VETERANS MEMORIAL HWY SE SUITE 660 #3247
MABLETON GA
30126
US

V. Phone/Fax

Practice location:
  • Phone: 470-318-2832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: LAWANDA FOSTER
Title or Position: OWNER
Credential:
Phone: 678-437-6198