Provider Demographics
NPI:1215455571
Name:ROYAL CARE TRANSPORTATION
Entity type:Organization
Organization Name:ROYAL CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:AWAD
Authorized Official - Last Name:SIDDIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-600-6112
Mailing Address - Street 1:600 WHISPERING HILLS DR APT L12
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5293
Mailing Address - Country:US
Mailing Address - Phone:615-600-6112
Mailing Address - Fax:
Practice Address - Street 1:600 WHISPERING HILLS DR
Practice Address - Street 2:APT# L12
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-600-6112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN199903343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)