Provider Demographics
NPI:1003660283
Name:YEMAS LLC
Entity Type:Organization
Organization Name:YEMAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TSEGAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-210-4546
Mailing Address - Street 1:6807 RAMBLING ROSE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-1762
Mailing Address - Country:US
Mailing Address - Phone:980-210-4546
Mailing Address - Fax:
Practice Address - Street 1:6807 RAMBLING ROSE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-1762
Practice Address - Country:US
Practice Address - Phone:980-210-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)