Provider Demographics
NPI:1932964491
Name:LIVECARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:LIVECARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GIORGI
Authorized Official - Middle Name:
Authorized Official - Last Name:GETIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-364-5055
Mailing Address - Street 1:1278 85TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3323
Mailing Address - Country:US
Mailing Address - Phone:929-364-5055
Mailing Address - Fax:
Practice Address - Street 1:1278 85TH ST APT 2R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3323
Practice Address - Country:US
Practice Address - Phone:929-364-5055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)