Provider Demographics
NPI:1225755598
Name:EMERALD CARE TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:EMERALD CARE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:937-760-2319
Mailing Address - Street 1:4875 FARMERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FARMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45325-8241
Mailing Address - Country:US
Mailing Address - Phone:937-760-2319
Mailing Address - Fax:
Practice Address - Street 1:4875 FARMERSVILLE RD
Practice Address - Street 2:
Practice Address - City:FARMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45325-8241
Practice Address - Country:US
Practice Address - Phone:937-760-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)