Provider Demographics
NPI:1306542634
Name:MORGAN CARE CONNECTION LLC
Entity type:Organization
Organization Name:MORGAN CARE CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-709-6433
Mailing Address - Street 1:5455 N SHERIDAN RD APT 2304
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1936
Mailing Address - Country:US
Mailing Address - Phone:618-709-6433
Mailing Address - Fax:
Practice Address - Street 1:5328 W MARKET ST APT 51F
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-4242
Practice Address - Country:US
Practice Address - Phone:618-709-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)