Provider Demographics
NPI:1235630104
Name:ALL ISLAND HANDIVAN TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ALL ISLAND HANDIVAN TRANSPORTATION LLC
Other - Org Name:MENDEZ FOSTER COMMUNITY CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ENCARNACION
Authorized Official - Middle Name:D
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-276-9177
Mailing Address - Street 1:322 S LEHUA ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2642
Mailing Address - Country:US
Mailing Address - Phone:808-276-9177
Mailing Address - Fax:
Practice Address - Street 1:322 S LEHUA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2642
Practice Address - Country:US
Practice Address - Phone:808-276-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)