Provider Demographics
NPI:1235651746
Name:ELI TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ELI TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-305-6609
Mailing Address - Street 1:105 TREMONT CIR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-2462
Mailing Address - Country:US
Mailing Address - Phone:585-305-6609
Mailing Address - Fax:
Practice Address - Street 1:105 TREMONT CIR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-2462
Practice Address - Country:US
Practice Address - Phone:585-305-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)