Provider Demographics
NPI:1548777337
Name:THE BIG HEART CARE SERVICES LLC
Entity Type:Organization
Organization Name:THE BIG HEART CARE SERVICES LLC
Other - Org Name:THE BIG HEART TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIMBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-974-8459
Mailing Address - Street 1:2129 GREEN TREE CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5097
Mailing Address - Country:US
Mailing Address - Phone:404-974-8459
Mailing Address - Fax:
Practice Address - Street 1:2129 GREEN TREE CT
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5097
Practice Address - Country:US
Practice Address - Phone:404-974-8459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)