=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053270181
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KOVENANT KARGO TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2026
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5881 TOMBERG ST
-----------------------------------------------------
City | HUBER HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45424-5333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-607-9937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5881 TOMBERG ST
-----------------------------------------------------
City | HUBER HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45424-5333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-607-9937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. NAKESHA S THOMPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-607-9937
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------