MEDICARE: ODIGO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306771498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ODIGO LLC

Provider Business Mailing Address
First Line	:	919 TINY TOWN RD UNIT B
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-7661
Country	:	US
Telephone Number	:	731-907-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 MISTY WAY
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-7251
Country	:	US
Telephone Number	:	731-907-0777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CAREY MORRIS
Credential	:
Telephone Number	:	731-907-0777

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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