Provider Demographics
NPI:1134578271
Name:HEART & SOUL PARATRANSIT LLC
Entity type:Organization
Organization Name:HEART & SOUL PARATRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRABSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-690-3338
Mailing Address - Street 1:200 E SWALLOW RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2540
Mailing Address - Country:US
Mailing Address - Phone:970-690-3338
Mailing Address - Fax:
Practice Address - Street 1:200 E SWALLOW RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2540
Practice Address - Country:US
Practice Address - Phone:970-690-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)