Provider Demographics
NPI:1932674207
Name:RC ENTERPRISE LLC
Entity Type:Organization
Organization Name:RC ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CABBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-225-6747
Mailing Address - Street 1:1389 W 86TH ST # 143
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2101
Mailing Address - Country:US
Mailing Address - Phone:317-935-5628
Mailing Address - Fax:317-225-6747
Practice Address - Street 1:581 S RANGELINE RD STE B2
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2149
Practice Address - Country:US
Practice Address - Phone:317-225-6747
Practice Address - Fax:317-947-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker