Provider Demographics
NPI:1992415285
Name:EMERALD CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:EMERALD CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAZZMYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-447-7079
Mailing Address - Street 1:1870 THE EXCHANGE SE STE 200
Mailing Address - Street 2:PMB 1090
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2021
Mailing Address - Country:US
Mailing Address - Phone:833-332-6368
Mailing Address - Fax:
Practice Address - Street 1:1870 THE EXCHANGE SE PMB 1090
Practice Address - Street 2:STE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7733
Practice Address - Country:US
Practice Address - Phone:183-333-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)