Provider Demographics
NPI:1295480622
Name:CAREONE TRANSPORT SYSTEMS LLC
Entity type:Organization
Organization Name:CAREONE TRANSPORT SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WATSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-504-3219
Mailing Address - Street 1:3033 N 93RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4715
Mailing Address - Country:US
Mailing Address - Phone:531-210-0832
Mailing Address - Fax:402-206-2388
Practice Address - Street 1:3033 N 93RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4715
Practice Address - Country:US
Practice Address - Phone:531-210-0832
Practice Address - Fax:402-206-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEB-2029OtherPROVIDER NUMBER