Provider Demographics
NPI:1497102057
Name:CARING STARS MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CARING STARS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:NTOMCHUKWU
Authorized Official - Last Name:NNAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-214-6679
Mailing Address - Street 1:PO BOX 850514
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-0514
Mailing Address - Country:US
Mailing Address - Phone:316-214-6679
Mailing Address - Fax:
Practice Address - Street 1:4801 N GALLOWAY AVE
Practice Address - Street 2:211
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1511
Practice Address - Country:US
Practice Address - Phone:316-214-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)