Provider Demographics
NPI:1275355372
Name:ZOOM CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:ZOOM CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZEUANTRAY
Authorized Official - Middle Name:VERNER
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:314-462-4848
Mailing Address - Street 1:4144 LINDELL BLVD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:ST.LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108
Mailing Address - Country:US
Mailing Address - Phone:314-462-4848
Mailing Address - Fax:314-833-3119
Practice Address - Street 1:4144 LINDELL BLVD
Practice Address - Street 2:SUITE 218
Practice Address - City:ST.LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108
Practice Address - Country:US
Practice Address - Phone:314-462-4848
Practice Address - Fax:314-833-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)