Provider Demographics
NPI:1225246630
Name:CAROLYNS TRANSPORTATION
Entity Type:Organization
Organization Name:CAROLYNS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-379-3856
Mailing Address - Street 1:108 IRIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:TN
Mailing Address - Zip Code:38474
Mailing Address - Country:US
Mailing Address - Phone:931-379-3856
Mailing Address - Fax:931-379-7798
Practice Address - Street 1:108 IRIS DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TN
Practice Address - Zip Code:38474-1009
Practice Address - Country:US
Practice Address - Phone:931-379-3856
Practice Address - Fax:931-379-7798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT000201Medicaid