Provider Demographics
NPI:1013392521
Name:TRUSTED CARRIAGE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRUSTED CARRIAGE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONYA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-531-8882
Mailing Address - Street 1:PO BOX 532022
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46253-2022
Mailing Address - Country:US
Mailing Address - Phone:888-510-1221
Mailing Address - Fax:317-991-3564
Practice Address - Street 1:4814 SHADOW POINTE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3743
Practice Address - Country:US
Practice Address - Phone:317-531-8882
Practice Address - Fax:317-991-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0000001343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)