Provider Demographics
NPI:1982386595
Name:CSP CARES TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CSP CARES TRANSPORTATION LLC
Other - Org Name:CSP CARES TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT-PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-203-1436
Mailing Address - Street 1:6444 BASTOGNE DR APT A
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80902-3206
Mailing Address - Country:US
Mailing Address - Phone:719-203-1436
Mailing Address - Fax:
Practice Address - Street 1:6444 BASTOGNE DR APT A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80902-3206
Practice Address - Country:US
Practice Address - Phone:719-203-1436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)