Provider Demographics
NPI:1063170298
Name:COSMOS CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:COSMOS CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICODIMUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-924-7141
Mailing Address - Street 1:1605 THORNHILL LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5773
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1605 THORNHILL LN
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5773
Practice Address - Country:US
Practice Address - Phone:214-924-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-05
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)