Provider Demographics
NPI:1467085696
Name:MY TRANSPORT CARE, LLC.
Entity Type:Organization
Organization Name:MY TRANSPORT CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-579-9154
Mailing Address - Street 1:2330 LAWRY RUN DR APT 3-307
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3492
Mailing Address - Country:US
Mailing Address - Phone:704-579-9154
Mailing Address - Fax:
Practice Address - Street 1:2330 LAWRY RUN DR APT 3-307
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3492
Practice Address - Country:US
Practice Address - Phone:704-579-9154
Practice Address - Fax:803-232-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)