Provider Demographics
NPI:1659133692
Name:CLAYTON CARES TRANSIT LLC
Entity Type:Organization
Organization Name:CLAYTON CARES TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAWUAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-404-8913
Mailing Address - Street 1:1020 E 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-1740
Mailing Address - Country:US
Mailing Address - Phone:813-404-8913
Mailing Address - Fax:
Practice Address - Street 1:1020 E 25TH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-1740
Practice Address - Country:US
Practice Address - Phone:813-404-8913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)