Provider Demographics
NPI:1235436593
Name:OMONOSA TRANSPORTATION AND SOCIAL SERVICES LLC
Entity Type:Organization
Organization Name:OMONOSA TRANSPORTATION AND SOCIAL SERVICES LLC
Other - Org Name:GOD'S CARING HANDS TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST EXCUT DIRECTOR/ SECRETARYNURSE
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:NNEKA
Authorized Official - Last Name:EKE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:816-547-3710
Mailing Address - Street 1:PO BOX 411155
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1155
Mailing Address - Country:US
Mailing Address - Phone:816-547-3710
Mailing Address - Fax:816-437-7901
Practice Address - Street 1:4311 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130
Practice Address - Country:US
Practice Address - Phone:816-875-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174200000X, 251J00000X, 253Z00000X, 332U00000X, 343900000X, 344600000X, 347C00000X
MO1505261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332U00000XSuppliersHome Delivered Meals
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle