Provider Demographics
NPI:1275387268
Name:I CARE FOR YOU RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:I CARE FOR YOU RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LENAYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-564-3676
Mailing Address - Street 1:6705 MATTERHORN CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-6307
Mailing Address - Country:US
Mailing Address - Phone:865-564-3676
Mailing Address - Fax:
Practice Address - Street 1:6705 MATTERHORN CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-6307
Practice Address - Country:US
Practice Address - Phone:865-564-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)