Provider Demographics
NPI:1932563434
Name:ONE LOVE CARE AND TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ONE LOVE CARE AND TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIAUNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JILES-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-651-7409
Mailing Address - Street 1:8607 FORD AVE
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-3142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8607 FORD AVE
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-3142
Practice Address - Country:US
Practice Address - Phone:816-651-7409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE LOVE CARE AND TRANSPORTATION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-11
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC001490253343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)