Provider Demographics
NPI:1477125946
Name:CARVIL PREMIUM TRANSPORTS
Entity Type:Organization
Organization Name:CARVIL PREMIUM TRANSPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVIL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:857-526-3381
Mailing Address - Street 1:13 S JUNIOR TER # B
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-6453
Mailing Address - Country:US
Mailing Address - Phone:857-526-3381
Mailing Address - Fax:
Practice Address - Street 1:13 S JUNIOR TER # B
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-6453
Practice Address - Country:US
Practice Address - Phone:857-526-3381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001514092Medicaid