Provider Demographics
NPI:1457039034
Name:1ST CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:1ST CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYNA
Authorized Official - Middle Name:CHILES
Authorized Official - Last Name:HAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-839-3155
Mailing Address - Street 1:10922 CHELSEA GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4138
Mailing Address - Country:US
Mailing Address - Phone:704-839-3155
Mailing Address - Fax:
Practice Address - Street 1:10922 CHELSEA GARDEN CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4138
Practice Address - Country:US
Practice Address - Phone:704-839-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)