Provider Demographics
NPI:1487485561
Name:CARELINE TRANSPORT LLC
Entity type:Organization
Organization Name:CARELINE TRANSPORT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VIECHWEG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-428-9505
Mailing Address - Street 1:421 FAYETTEVILLE ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3000
Mailing Address - Country:US
Mailing Address - Phone:929-428-9505
Mailing Address - Fax:
Practice Address - Street 1:108 WEST KING STREET
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4830
Practice Address - Country:US
Practice Address - Phone:833-496-0604
Practice Address - Fax:336-642-3593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)