Provider Demographics
NPI:1538681069
Name:PRO CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PRO CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:614-670-3499
Mailing Address - Street 1:3217 CHELFORD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3265
Mailing Address - Country:US
Mailing Address - Phone:614-670-3499
Mailing Address - Fax:
Practice Address - Street 1:3280 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6175
Practice Address - Country:US
Practice Address - Phone:614-414-6224
Practice Address - Fax:614-414-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSB700776343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0066878Medicaid