Provider Demographics
NPI:1093589988
Name:TAILAND GROUP LLC
Entity Type:Organization
Organization Name:TAILAND GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:JAMIY
Authorized Official - Last Name:BOLOMOPE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:412-680-3688
Mailing Address - Street 1:2800 S DAIRY ASHFORD RD APT 710
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2311
Mailing Address - Country:US
Mailing Address - Phone:412-680-3688
Mailing Address - Fax:
Practice Address - Street 1:2800 S DAIRY ASHFORD RD APT 710
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2311
Practice Address - Country:US
Practice Address - Phone:412-680-3688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker