=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336991678
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE2CARE TRANSPORT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2024
-----------------------------------------------------
Last Update Date | 04/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6406 FALLING OAK TRL
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33545-4868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-777-3603
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6406 FALLING OAK TRL
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33545-4868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-859-6964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | ZOEY NORMA TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 404-859-6964
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------