Provider Demographics
NPI:1013508126
Name:KAVE OUTREACH
Entity Type:Organization
Organization Name:KAVE OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-532-2137
Mailing Address - Street 1:889 SQUIRRELL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTA
Mailing Address - State:VA
Mailing Address - Zip Code:23821-3252
Mailing Address - Country:US
Mailing Address - Phone:434-532-2137
Mailing Address - Fax:434-948-7116
Practice Address - Street 1:889 SQUIRRELL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ALBERTA
Practice Address - State:VA
Practice Address - Zip Code:23821-3252
Practice Address - Country:US
Practice Address - Phone:434-532-2137
Practice Address - Fax:434-948-7116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)