Provider Demographics
NPI:1831877802
Name:CLASSY HOME CARE TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:CLASSY HOME CARE TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-307-4164
Mailing Address - Street 1:176 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2758
Mailing Address - Country:US
Mailing Address - Phone:336-307-4164
Mailing Address - Fax:336-886-0103
Practice Address - Street 1:176 BAKER RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2758
Practice Address - Country:US
Practice Address - Phone:336-307-4164
Practice Address - Fax:336-307-3352
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLASSY SENIOR HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-10
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle