Provider Demographics
NPI:1942993035
Name:CARE-A-VAN TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:CARE-A-VAN TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:EMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-224-2290
Mailing Address - Street 1:33204 W LOOP RD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51108-8530
Mailing Address - Country:US
Mailing Address - Phone:712-224-2290
Mailing Address - Fax:712-224-2291
Practice Address - Street 1:33204 W LOOP RD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51108-8530
Practice Address - Country:US
Practice Address - Phone:712-224-2290
Practice Address - Fax:712-224-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)