Provider Demographics
NPI:1629830419
Name:DRAKES CARE CAB LLC
Entity Type:Organization
Organization Name:DRAKES CARE CAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:833-644-9994
Mailing Address - Street 1:6290 W 900 S
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:IN
Mailing Address - Zip Code:46792-9729
Mailing Address - Country:US
Mailing Address - Phone:833-644-9994
Mailing Address - Fax:765-205-8131
Practice Address - Street 1:6290 W 900 S
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:IN
Practice Address - Zip Code:46792-9729
Practice Address - Country:US
Practice Address - Phone:833-644-9994
Practice Address - Fax:765-205-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)