Provider Demographics
NPI:1649157397
Name:MOORE COMPASSION PATIENT TRANSPORT LLC
Entity type:Organization
Organization Name:MOORE COMPASSION PATIENT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-390-2255
Mailing Address - Street 1:400 RED RIVER TRL APT 1003
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6502
Mailing Address - Country:US
Mailing Address - Phone:217-390-2255
Mailing Address - Fax:
Practice Address - Street 1:400 RED RIVER TRL APT 1003
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6502
Practice Address - Country:US
Practice Address - Phone:217-390-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle