Country Carriage LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

4161822 Issued in OH

Legal business name

COUNTRY CARRIAGE LLC

Practice address

10180 Gerdanville Ave SE
Waynesburg, OH 44688-9323

Phone

(330) 356-9022

NPI assigned

Apr 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tari Anne Hoover

Title

Co-Partener

Phone

(330) 356-9022

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1578050100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446880173",
            "telephone_number": "330-356-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 GERDANVILLE AVE SE",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446889323",
            "telephone_number": "330-356-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CARRIAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "TARI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CO-PARTENER",
        "authorized_official_telephone_number": "330-356-9022"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "4161822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Waynesburg, OH
• Providers in Waynesburg, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.