=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245380344
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/11/2007
-----------------------------------------------------
Last Update Date | 01/23/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2120 CLIFF DR
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37218-2814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-252-1999
-----------------------------------------------------
Fax | 615-255-8670
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 282183
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37228-8512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-252-1999
-----------------------------------------------------
Fax | 615-255-8670
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. ALBERT E HILL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-252-1999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number | 00347041
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------