Provider Demographics
NPI:1316789779
Name:BLESS YOUR HEART ADULT TRANSPORT LLC
Entity type:Organization
Organization Name:BLESS YOUR HEART ADULT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-608-9813
Mailing Address - Street 1:5020 BLENDON TRAIL
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7188
Mailing Address - Country:US
Mailing Address - Phone:919-805-5723
Mailing Address - Fax:
Practice Address - Street 1:5020 BLENDON TRAIL
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7188
Practice Address - Country:US
Practice Address - Phone:919-805-5723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)