Provider Demographics
NPI:1114585023
Name:ELVR TRANSPORT LLC
Entity Type:Organization
Organization Name:ELVR TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-912-9368
Mailing Address - Street 1:1401 KEMPSVILLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-8316
Mailing Address - Country:US
Mailing Address - Phone:804-912-9368
Mailing Address - Fax:757-366-0709
Practice Address - Street 1:1401 KEMPSVILLE RD STE D
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-8316
Practice Address - Country:US
Practice Address - Phone:804-912-9368
Practice Address - Fax:757-366-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)