Provider Demographics
NPI:1003688656
Name:AVA, CARIOS & YAYA LLC - MAKARIOS LOGISTICS LLC
Entity Type:Organization
Organization Name:AVA, CARIOS & YAYA LLC - MAKARIOS LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-949-5776
Mailing Address - Street 1:1578 GLACIER CIR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-8900
Mailing Address - Country:US
Mailing Address - Phone:614-949-5776
Mailing Address - Fax:
Practice Address - Street 1:1578 GLACIER CIR
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8900
Practice Address - Country:US
Practice Address - Phone:614-949-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343800000XTransportation ServicesSecured Medical Transport (VAN)