Provider Demographics
NPI:1164470936
Name:KIMBERLIN SERVICES INC.
Entity Type:Organization
Organization Name:KIMBERLIN SERVICES INC.
Other - Org Name:OZARK WHEELCHAIR CAB COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-674-9155
Mailing Address - Street 1:130 NEMO CIR NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-1223
Mailing Address - Country:US
Mailing Address - Phone:321-674-9155
Mailing Address - Fax:321-674-7757
Practice Address - Street 1:130 NEMO CIR NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-1223
Practice Address - Country:US
Practice Address - Phone:321-674-9155
Practice Address - Fax:321-674-7757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP04000126469343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)