Provider Demographics
NPI:1528885696
Name:4C'S ESSENTIALS NEMT TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:4C'S ESSENTIALS NEMT TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THORPE-GILPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-856-0200
Mailing Address - Street 1:9811 CORRAL PATH CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-2652
Mailing Address - Country:US
Mailing Address - Phone:561-856-0200
Mailing Address - Fax:
Practice Address - Street 1:9811 CORRAL PATH CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-2652
Practice Address - Country:US
Practice Address - Phone:832-339-8381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)