Provider Demographics
NPI:1922619600
Name:HEALTHY CARE MEDICAL TRANSIT
Entity Type:Organization
Organization Name:HEALTHY CARE MEDICAL TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-773-8933
Mailing Address - Street 1:4377 KENMARE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3032
Mailing Address - Country:US
Mailing Address - Phone:804-773-8933
Mailing Address - Fax:804-553-1455
Practice Address - Street 1:4377 KENMARE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-3032
Practice Address - Country:US
Practice Address - Phone:804-773-8933
Practice Address - Fax:804-553-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)