Provider Demographics
NPI:1760250732
Name:KOMPLETE KARE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:KOMPLETE KARE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURY
Authorized Official - Middle Name:KRISTINA JO
Authorized Official - Last Name:THARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-610-1017
Mailing Address - Street 1:6101 NORTH KEYSTONE AVENUE
Mailing Address - Street 2:STE 100 #1095
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220
Mailing Address - Country:US
Mailing Address - Phone:317-610-1017
Mailing Address - Fax:
Practice Address - Street 1:6101 NORTH KEYSTONE AVENUE
Practice Address - Street 2:STE 100 #1095
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220
Practice Address - Country:US
Practice Address - Phone:317-610-1017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)