Healthcare Provider Details

I. General information

NPI: 1912736786
Provider Name (Legal Business Name): LOVED1CARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 8TH ST
CHICAGO HTS IL
60411-1925
US

IV. Provider business mailing address

476 8TH ST
CHICAGO HTS IL
60411-1925
US

V. Phone/Fax

Practice location:
  • Phone: 708-220-0722
  • Fax:
Mailing address:
  • Phone: 708-220-0722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. CYNTHIA R DEWBERRY
Title or Position: CEO
Credential:
Phone: 708-220-0722