Provider Demographics
NPI:1356920185
Name:ROGER CARES TRANSPORTATIONS LLC
Entity type:Organization
Organization Name:ROGER CARES TRANSPORTATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LACRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-806-8345
Mailing Address - Street 1:315 HOSPITAL DR STE 204
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:315 HOSPITAL DR STE 204
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1927
Practice Address - Country:US
Practice Address - Phone:276-790-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)