Provider Demographics
NPI:1235700105
Name:BEYOND TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BEYOND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LERREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENGATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-249-8804
Mailing Address - Street 1:853 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1854
Mailing Address - Country:US
Mailing Address - Phone:978-770-2949
Mailing Address - Fax:
Practice Address - Street 1:853 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1854
Practice Address - Country:US
Practice Address - Phone:978-770-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)