Provider Demographics
NPI:1346957644
Name:KHOBCARE, LLC
Entity Type:Organization
Organization Name:KHOBCARE, LLC
Other - Org Name:KHOBCARE TRANSPORT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSHCM
Authorized Official - Phone:559-780-6646
Mailing Address - Street 1:4922 E YALE AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1517
Mailing Address - Country:US
Mailing Address - Phone:559-780-6646
Mailing Address - Fax:
Practice Address - Street 1:4922 E YALE AVE STE 14
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1517
Practice Address - Country:US
Practice Address - Phone:559-780-6646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KHOBCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-04
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker