Provider Demographics
NPI:1336832864
Name:H A C MOVING FORWARD .LLC
Entity Type:Organization
Organization Name:H A C MOVING FORWARD .LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-303-2755
Mailing Address - Street 1:1633 NEW GARDEN RD # 1013
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2001
Mailing Address - Country:US
Mailing Address - Phone:336-303-2755
Mailing Address - Fax:
Practice Address - Street 1:5602 FOUNTAIN HEAD DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1444
Practice Address - Country:US
Practice Address - Phone:336-987-7748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)