Provider Demographics
NPI:1992540439
Name:SINGLETARY TRANSPORT, LLC
Entity type:Organization
Organization Name:SINGLETARY TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIZZY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-965-0947
Mailing Address - Street 1:13534 PLAZA ROAD EXT STE 5019
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8921
Mailing Address - Country:US
Mailing Address - Phone:704-965-0947
Mailing Address - Fax:
Practice Address - Street 1:13534 PLAZA ROAD EXT STE 5019
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8921
Practice Address - Country:US
Practice Address - Phone:704-965-0947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle