Provider Demographics
NPI:1609223817
Name:CAREVAN, LLC
Entity type:Organization
Organization Name:CAREVAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-381-7193
Mailing Address - Street 1:1517 HUGUENOT RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2441
Mailing Address - Country:US
Mailing Address - Phone:804-381-7193
Mailing Address - Fax:
Practice Address - Street 1:1517 HUGUENOT RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2441
Practice Address - Country:US
Practice Address - Phone:804-381-7193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA229343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)