Provider Demographics
NPI:1164082350
Name:LOW COUNTY NEMT, LLC
Entity Type:Organization
Organization Name:LOW COUNTY NEMT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JADE
Authorized Official - Last Name:BERKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-663-0348
Mailing Address - Street 1:291 HWY 90 EAST UNIT 291-B
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-7613
Mailing Address - Country:US
Mailing Address - Phone:843-663-0348
Mailing Address - Fax:843-663-0348
Practice Address - Street 1:291 HWY 90 EAST UNIT 291-B
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-7613
Practice Address - Country:US
Practice Address - Phone:843-663-0348
Practice Address - Fax:843-663-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle