Provider Demographics
NPI:1831723154
Name:LOVE THY NEIGHBOR NON EMERGENCY TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:LOVE THY NEIGHBOR NON EMERGENCY TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMINACHONDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-713-8743
Mailing Address - Street 1:PO BOX 16214
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39236-6214
Mailing Address - Country:US
Mailing Address - Phone:615-713-8743
Mailing Address - Fax:
Practice Address - Street 1:5970 FERNCREEK DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-2723
Practice Address - Country:US
Practice Address - Phone:615-713-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMPBELL MINISTRIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)