Provider Demographics
NPI:1932938222
Name:SUPPORTED HANDS TRANSPORTATION
Entity type:Organization
Organization Name:SUPPORTED HANDS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-516-6115
Mailing Address - Street 1:3799 MAIN ST UNIT 87462
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-3556
Mailing Address - Country:US
Mailing Address - Phone:678-516-6115
Mailing Address - Fax:
Practice Address - Street 1:3799 MAIN ST UNIT 87462
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3556
Practice Address - Country:US
Practice Address - Phone:678-516-6115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUPPORTED HANDS TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)