Provider Demographics
NPI:1619594439
Name:COMPASSION CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMPASSION CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ADONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-732-1360
Mailing Address - Street 1:6100 LAKE ELLENOR DR STE 160
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4632
Mailing Address - Country:US
Mailing Address - Phone:407-732-1360
Mailing Address - Fax:
Practice Address - Street 1:6100 LAKE ELLENOR DR STE 160
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4632
Practice Address - Country:US
Practice Address - Phone:407-732-1360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-27
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)