=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760320865
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KB COMMUNITY CARE TRANSIT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 410 LIONSHEAD RD
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28311-1356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-359-2738
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 410 LIONSHEAD RD 410 LIONSHEAD ROAD
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28311-1356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-359-2738
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KIMBERLY NICOLE BUIE
-----------------------------------------------------
Credential | BUIE
-----------------------------------------------------
Telephone | 910-359-2738
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------