Healthcare Provider Details

I. General information

NPI: 1316757685
Provider Name (Legal Business Name): LIKE A BREEZE TRIBE EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 OLD BUFF ST
HICKORY NC
28602
US

IV. Provider business mailing address

2425 N CENTER ST # 122
HICKORY NC
28601-1320
US

V. Phone/Fax

Practice location:
  • Phone: 828-999-8322
  • Fax:
Mailing address:
  • Phone: 828-999-8322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAURA OSEGUERA
Title or Position: CEO
Credential:
Phone: 828-999-8322