Provider Demographics
NPI:1992352058
Name:CARE TRANSPORT GROUP, INC
Entity type:Organization
Organization Name:CARE TRANSPORT GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MISENHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-209-7884
Mailing Address - Street 1:1620 S MARTIN LUTHER KING JR AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-5595
Mailing Address - Country:US
Mailing Address - Phone:704-209-7884
Mailing Address - Fax:704-274-1200
Practice Address - Street 1:1620 S MARTIN LUTHER KING JR AVE STE 104
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-5595
Practice Address - Country:US
Practice Address - Phone:704-209-7884
Practice Address - Fax:704-274-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40381050Medicaid