Provider Demographics
NPI:1962943928
Name:NE TRANS CARE, LLC
Entity type:Organization
Organization Name:NE TRANS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:D
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-222-0063
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-2177
Mailing Address - Country:US
Mailing Address - Phone:740-222-0063
Mailing Address - Fax:248-404-6968
Practice Address - Street 1:2198 GATES RD
Practice Address - Street 2:
Practice Address - City:BASSFIELD
Practice Address - State:MS
Practice Address - Zip Code:39421-9543
Practice Address - Country:US
Practice Address - Phone:740-222-0063
Practice Address - Fax:248-404-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)