Provider Demographics
NPI:1124798541
Name:DEVOTED KARE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:DEVOTED KARE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:LINNELL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-756-5230
Mailing Address - Street 1:900 GRANBY ST STE 129
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2534
Mailing Address - Country:US
Mailing Address - Phone:757-756-5230
Mailing Address - Fax:757-321-7468
Practice Address - Street 1:900 GRANBY ST STE 129
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2534
Practice Address - Country:US
Practice Address - Phone:757-756-5230
Practice Address - Fax:757-321-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)