Provider Demographics
NPI:1770930760
Name:HONOR CARE MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:HONOR CARE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEESNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-400-6811
Mailing Address - Street 1:3284 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAIN
Mailing Address - State:OH
Mailing Address - Zip Code:45162-9751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3284 JORDAN RD
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAIN
Practice Address - State:OH
Practice Address - Zip Code:45162-9751
Practice Address - Country:US
Practice Address - Phone:513-400-6811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport