Provider Demographics
NPI:1992055404
Name:TOTAL CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:TOTAL CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-827-8826
Mailing Address - Street 1:931 MONROE DR NE
Mailing Address - Street 2:STE 102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1793
Mailing Address - Country:US
Mailing Address - Phone:678-379-9589
Mailing Address - Fax:
Practice Address - Street 1:931 MONROE DR NE
Practice Address - Street 2:STE 102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1793
Practice Address - Country:US
Practice Address - Phone:678-379-9589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)