Provider Demographics
NPI:1134824147
Name:PRECIOUS HEARTS TRANSPORTATION, LLC
Entity type:Organization
Organization Name:PRECIOUS HEARTS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-485-4848
Mailing Address - Street 1:1000 HIGHLAND COLONY PKWY STE 5203
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2079
Mailing Address - Country:US
Mailing Address - Phone:800-485-4848
Mailing Address - Fax:800-717-2179
Practice Address - Street 1:1000 HIGHLAND COLONY PKWY STE 5203
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2079
Practice Address - Country:US
Practice Address - Phone:800-485-4848
Practice Address - Fax:800-717-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)