Provider Demographics
NPI:1205372034
Name:H.E.A.R.T. TRANSPORTATION LLC
Entity Type:Organization
Organization Name:H.E.A.R.T. TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:LAMARC
Authorized Official - Last Name:GASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-772-6357
Mailing Address - Street 1:7971 RIVIERA BLVD
Mailing Address - Street 2:SUITE 419
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6445
Mailing Address - Country:US
Mailing Address - Phone:678-772-6357
Mailing Address - Fax:
Practice Address - Street 1:7971 RIVIERA BLVD
Practice Address - Street 2:SUITE 419
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6445
Practice Address - Country:US
Practice Address - Phone:678-772-6357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035216525343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)