Provider Demographics
NPI:1245782192
Name:ACCOMMODATING BRILLIANT CARING TRAVELS, LLC
Entity Type:Organization
Organization Name:ACCOMMODATING BRILLIANT CARING TRAVELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITHSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-431-8574
Mailing Address - Street 1:2021B CUNNINGHAM DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3326
Mailing Address - Country:US
Mailing Address - Phone:215-431-8574
Mailing Address - Fax:757-262-2070
Practice Address - Street 1:2021B CUNNINGHAM DR
Practice Address - Street 2:SUITE 2
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3326
Practice Address - Country:US
Practice Address - Phone:215-431-8574
Practice Address - Fax:757-262-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi