Provider Demographics
NPI:1013340306
Name:CARE ONE EMERGENCY SERVICES LLC
Entity type:Organization
Organization Name:CARE ONE EMERGENCY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-255-2143
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37341
Mailing Address - Country:US
Mailing Address - Phone:423-255-2143
Mailing Address - Fax:304-682-0540
Practice Address - Street 1:6660 GRAZING LANE
Practice Address - Street 2:
Practice Address - City:BURCHWOOD
Practice Address - State:TN
Practice Address - Zip Code:37308
Practice Address - Country:US
Practice Address - Phone:423-255-2143
Practice Address - Fax:423-622-3192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPEND3416L0300X
TN101623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport