Provider Demographics
NPI:1326686981
Name:WITH LOVE AND CARE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:WITH LOVE AND CARE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-927-8479
Mailing Address - Street 1:573 MATTHEWS LN
Mailing Address - Street 2:
Mailing Address - City:BRODNAX
Mailing Address - State:VA
Mailing Address - Zip Code:23920-3345
Mailing Address - Country:US
Mailing Address - Phone:310-927-8479
Mailing Address - Fax:
Practice Address - Street 1:800 CRAWFORD ST APT 225
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2335
Practice Address - Country:US
Practice Address - Phone:310-927-8479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)