Provider Demographics
NPI:1538484050
Name:KR CALVERT CO, LLC
Entity Type:Organization
Organization Name:KR CALVERT CO, LLC
Other - Org Name:CALIBER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KLEIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:615-224-8464
Mailing Address - Street 1:113 SEABOARD LANE
Mailing Address - Street 2:C-270
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-224-8464
Mailing Address - Fax:800-381-7074
Practice Address - Street 1:113 SEABOARD LANE
Practice Address - Street 2:C-270
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-224-8464
Practice Address - Fax:800-381-7074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN155771343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)