Provider Demographics
NPI:1588268973
Name:CARE VAN TRANSPORTATION LLC
Entity type:Organization
Organization Name:CARE VAN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMECIA
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-849-2909
Mailing Address - Street 1:800 BEGNAUD ST # B
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-5817
Mailing Address - Country:US
Mailing Address - Phone:337-849-2909
Mailing Address - Fax:
Practice Address - Street 1:800 BEGNAUD ST # B
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-5817
Practice Address - Country:US
Practice Address - Phone:225-505-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)