Provider Demographics
NPI:1558933879
Name:HEARTBEAT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HEARTBEAT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-278-2634
Mailing Address - Street 1:13200 W NEWBERRY RD APT W128
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2772
Mailing Address - Country:US
Mailing Address - Phone:352-278-2634
Mailing Address - Fax:
Practice Address - Street 1:13200 W NEWBERRY RD APT W128
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2772
Practice Address - Country:US
Practice Address - Phone:352-278-2634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)