Provider Demographics
NPI:1124872171
Name:CAREWHEELS TRANSPORT LLC
Entity type:Organization
Organization Name:CAREWHEELS TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEUL
Authorized Official - Middle Name:GEBRE
Authorized Official - Last Name:HABTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-855-2557
Mailing Address - Street 1:9300 OLD CEDAR AVE S APT 316
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-2409
Mailing Address - Country:US
Mailing Address - Phone:952-855-2557
Mailing Address - Fax:
Practice Address - Street 1:321 WILSON ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2804
Practice Address - Country:US
Practice Address - Phone:651-217-3637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)