Healthcare Provider Details

I. General information

NPI: 1033740477
Provider Name (Legal Business Name): KARRIAGE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 02/03/2020
Certification Date: 02/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8314 W 95TH ST
HICKORY HILLS IL
60457-1951
US

IV. Provider business mailing address

8314 W 95TH ST
HICKORY HILLS IL
60457-1951
US

V. Phone/Fax

Practice location:
  • Phone: 708-250-7212
  • Fax: 800-525-4072
Mailing address:
  • Phone: 708-250-7212
  • Fax: 800-525-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: OCEA JONES
Title or Position: COO
Credential:
Phone: 708-250-7212