MEDICARE: A CARING TRANSPORT SOLUTION 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	:	1538454590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CARING TRANSPORT SOLUTION LLC

Provider Business Mailing Address
First Line	:	5655 SUNBERRY CIR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34951-3119
Country	:	US
Telephone Number	:	772-940-4456
Fax Number	:

Provider Business Practice Location Address
First Line	:	5655 SUNBERRY CIR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34951-3119
Country	:	US
Telephone Number	:	772-940-4456
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MR. CECIL LEROY HICKS
Credential	:
Telephone Number	:	772-216-6750

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	06/17/2011

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