Provider Demographics
NPI:1780496000
Name:THE BRAVE SKY LLC
Entity type:Organization
Organization Name:THE BRAVE SKY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHINONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-358-1494
Mailing Address - Street 1:1235 EAST BLVD STE 1325
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5870
Mailing Address - Country:US
Mailing Address - Phone:980-358-1494
Mailing Address - Fax:
Practice Address - Street 1:4956 EL MOLINO DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-2060
Practice Address - Country:US
Practice Address - Phone:980-358-1494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker