Provider Demographics
NPI:1316398407
Name:CARE-A-VAN
Entity type:Organization
Organization Name:CARE-A-VAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:615-389-8366
Mailing Address - Street 1:308 WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-9253
Mailing Address - Country:US
Mailing Address - Phone:615-389-8366
Mailing Address - Fax:615-334-1883
Practice Address - Street 1:308 WALNUT CT
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-9253
Practice Address - Country:US
Practice Address - Phone:615-561-0580
Practice Address - Fax:615-334-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN941H196343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)