MEDICARE: CARE ASSISTANT 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	:	1891553624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE ASSISTANT LLC

Provider Business Mailing Address
First Line	:	8036 MCGARRY TRL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-7649
Country	:	US
Telephone Number	:	704-891-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	8929 J M KEYNES DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8406
Country	:	US
Telephone Number	:	704-891-6883
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEYASHA MILLER
Credential	:
Telephone Number	:	704-891-6883

Provider Enumeration Date	:	03/07/2024
Last Update Date	:	03/07/2024

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Directions to “CARE ASSISTANT LLC ” Practice Location

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