Provider Demographics
NPI:1346125929
Name:CARE TRANSPORT LLC
Entity type:Organization
Organization Name:CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TEDRICK
Authorized Official - Middle Name:O
Authorized Official - Last Name:BLACKSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-334-4503
Mailing Address - Street 1:242 MCDONNELL AVE APT C57
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-4229
Mailing Address - Country:US
Mailing Address - Phone:228-334-4503
Mailing Address - Fax:
Practice Address - Street 1:242 MCDONNELL AVE APT C57
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4229
Practice Address - Country:US
Practice Address - Phone:228-334-4503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)