Provider Demographics
NPI:1003633793
Name:UNCONDITIONAL LOVE HOME TRANSPORTATION
Entity type:Organization
Organization Name:UNCONDITIONAL LOVE HOME TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-324-0401
Mailing Address - Street 1:731 QUAIL AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-3442
Mailing Address - Country:US
Mailing Address - Phone:757-288-1603
Mailing Address - Fax:757-937-3499
Practice Address - Street 1:404 S PARLIAMENT DR STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6301
Practice Address - Country:US
Practice Address - Phone:757-288-1603
Practice Address - Fax:757-937-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)