Provider Demographics
NPI:1003383225
Name:ASSISTED SHUTTLE LLC
Entity Type:Organization
Organization Name:ASSISTED SHUTTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAYOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-299-4308
Mailing Address - Street 1:5909 PLATA ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2370
Mailing Address - Country:US
Mailing Address - Phone:240-299-4308
Mailing Address - Fax:
Practice Address - Street 1:5909 PLATA ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2370
Practice Address - Country:US
Practice Address - Phone:240-299-4308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC579291216OtherPERSONAL NUMBER