Provider Demographics
NPI:1619234978
Name:C.A.P. TRANSPORTATION
Entity Type:Organization
Organization Name:C.A.P. TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANASA
Authorized Official - Middle Name:LONNIE
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-501-2465
Mailing Address - Street 1:6622 S SAINT LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-4185
Mailing Address - Country:US
Mailing Address - Phone:773-377-8181
Mailing Address - Fax:312-238-9373
Practice Address - Street 1:6622 S SAINT LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-4185
Practice Address - Country:US
Practice Address - Phone:773-501-2465
Practice Address - Fax:312-238-9373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILD15187271918343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)