Healthcare Provider Details

I. General information

NPI: 1477306876
Provider Name (Legal Business Name): YBEINC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 LOUISE AVE STE 101
CHARLOTTE NC
28204-2299
US

IV. Provider business mailing address

115 BLACK ROCK RD APT 109
MOORESVILLE NC
28117-5695
US

V. Phone/Fax

Practice location:
  • Phone: 980-777-4246
  • Fax:
Mailing address:
  • Phone: 980-781-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JAMIEKE SPRUILL
Title or Position: TREASURER
Credential:
Phone: 980-781-8008