Careavan, Inc.

LBN: Careavan, Inc. Of Wisconsin
Careavan, Inc. is an health care organization with primary practice located at 7117 Clinton Road Suite No. 3, Loves Park IL 61111-3804. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Secured Medical Transport (VAN) is the primary health care specialty. Careavan, Inc. Of Wisconsin can be contacted via phone (815) 633-8461, or through Licary, Nicholas James via phone (815) 633-8461.

Contact Information

Primary practice address
7117 Clinton Road Suite No. 3 Loves Park IL 61111-3804
Fax: (815) 633-8486
Website:
Authorized official contact:
Name: Licary, Nicholas James M.B.A., RT(R)

Profile Details

NPI number 1235356924
LBN Legal business name Careavan, Inc. Of Wisconsin
DBA Doing business as Careavan, Inc.
Authorized official Licary, Nicholas James M.B.A., RT(R)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235356924 NPPES
Wisconsin MEDICAID 41464300

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