Provider Demographics
NPI:1255141446
Name:C&C NEMT LLC
Entity type:Organization
Organization Name:C&C NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNOO
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:215-980-6050
Mailing Address - Street 1:3313 WOODHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1834
Mailing Address - Country:US
Mailing Address - Phone:215-980-6050
Mailing Address - Fax:
Practice Address - Street 1:3313 WOODHAVEN RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-1834
Practice Address - Country:US
Practice Address - Phone:215-980-6050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)