Provider Demographics
NPI:1932663028
Name:CARING WHEELS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CARING WHEELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-474-9788
Mailing Address - Street 1:504 SW BUCCHI GLN
Mailing Address - Street 2:
Mailing Address - City:FORT WHITE
Mailing Address - State:FL
Mailing Address - Zip Code:32038-2936
Mailing Address - Country:US
Mailing Address - Phone:352-474-9788
Mailing Address - Fax:
Practice Address - Street 1:6459 SW COUNTY ROAD 18 UNIT 4
Practice Address - Street 2:
Practice Address - City:FORT WHITE
Practice Address - State:FL
Practice Address - Zip Code:32038-3464
Practice Address - Country:US
Practice Address - Phone:352-474-9788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)