MEDICARE: CARE-PATH TRANSPORTATION 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	:	1487458261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE-PATH TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1736 DICKERSON BLVD STE F
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-2833
Country	:	US
Telephone Number	:	202-285-3732
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 EUSTCE LN
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-0041
Country	:	US
Telephone Number	:	202-285-3732
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER/OWNER
Name	:	MR. OLADAPO ADEFOLAMI IKUOYE
Credential	:
Telephone Number	:	202-285-3732

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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