Provider Demographics
NPI:1528375268
Name:CAREAVAN MOBILITY 4 U
Entity Type:Organization
Organization Name:CAREAVAN MOBILITY 4 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NEPPL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1612-963-3684
Mailing Address - Street 1:2010 STATE HIGHWAY 210 E
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537
Mailing Address - Country:US
Mailing Address - Phone:218-998-4863
Mailing Address - Fax:218-998-0013
Practice Address - Street 1:2010 STATE HIGHWAY 210 E
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-4252
Practice Address - Country:US
Practice Address - Phone:218-998-4863
Practice Address - Fax:218-998-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN335951343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)