Provider Demographics
NPI:1013364363
Name:HIGH OCEAN INC.
Entity Type:Organization
Organization Name:HIGH OCEAN INC.
Other - Org Name:LASALLE TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARNAIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-284-8833
Mailing Address - Street 1:2330 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-1825
Mailing Address - Country:US
Mailing Address - Phone:716-284-8833
Mailing Address - Fax:716-284-7962
Practice Address - Street 1:2330 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-1825
Practice Address - Country:US
Practice Address - Phone:716-284-8833
Practice Address - Fax:716-284-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02672159Medicaid