Provider Demographics
NPI:1821301326
Name:ABLE CARE TRANSPORT LLC
Entity Type:Organization
Organization Name:ABLE CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MEDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-907-1610
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-0221
Mailing Address - Country:US
Mailing Address - Phone:864-907-1610
Mailing Address - Fax:
Practice Address - Street 1:96 LARK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-6817
Practice Address - Country:US
Practice Address - Phone:864-907-1610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport