Healthcare Provider Details

I. General information

NPI: 1750157731
Provider Name (Legal Business Name): GENTLE HEARTZ TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 02/21/2024
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 LARAMIE CT
MURFREESBORO TN
37128-7728
US

IV. Provider business mailing address

1059 LARAMIE CT
MURFREESBORO TN
37128-7728
US

V. Phone/Fax

Practice location:
  • Phone: 615-971-8382
  • Fax:
Mailing address:
  • Phone: 615-635-2927
  • 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 Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARLYSE MORAN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 615-635-2927