Provider Demographics
NPI:1487358362
Name:CCA TRANSCARE LLC
Entity type:Organization
Organization Name:CCA TRANSCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-333-9063
Mailing Address - Street 1:3110 1ST AVE N STE 2I
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8637
Mailing Address - Country:US
Mailing Address - Phone:863-333-9063
Mailing Address - Fax:727-683-9459
Practice Address - Street 1:3110 1ST AVE N STE 2I
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8637
Practice Address - Country:US
Practice Address - Phone:863-333-9063
Practice Address - Fax:727-683-9459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company