Provider Demographics
NPI:1770305948
Name:CTSEVICES
Entity type:Organization
Organization Name:CTSEVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVAR
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-966-0145
Mailing Address - Street 1:3343 PEACHTREE RD NE STE 145
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1427
Mailing Address - Country:US
Mailing Address - Phone:404-966-0145
Mailing Address - Fax:
Practice Address - Street 1:195 MEADOWBROOK CT APT C
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-8280
Practice Address - Country:US
Practice Address - Phone:404-966-0145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)