Provider Demographics
NPI:1962234559
Name:HUMBLED HANDS TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:HUMBLED HANDS TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAELEESHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-673-9784
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:28163-0483
Mailing Address - Country:US
Mailing Address - Phone:573-673-9784
Mailing Address - Fax:
Practice Address - Street 1:226 AUTUMN SAGE DR
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-0137
Practice Address - Country:US
Practice Address - Phone:573-673-9784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)