Provider Demographics
NPI:1205221850
Name:TRANSCARE OF MEMPHIS
Entity Type:Organization
Organization Name:TRANSCARE OF MEMPHIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:HAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-513-1973
Mailing Address - Street 1:928 BIGGS ST
Mailing Address - Street 2:1339 NORTH WILLETT
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38108-3227
Mailing Address - Country:US
Mailing Address - Phone:901-513-1973
Mailing Address - Fax:
Practice Address - Street 1:928 BIGGS ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38108-3227
Practice Address - Country:US
Practice Address - Phone:901-513-1973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)