Provider Demographics
NPI:1245619261
Name:TENNY MASTER CLEANING AND TRANSPORTATION SERVICES INC
Entity Type:Organization
Organization Name:TENNY MASTER CLEANING AND TRANSPORTATION SERVICES INC
Other - Org Name:YES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FOLAKEMI
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLAPADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-248-4375
Mailing Address - Street 1:3208 DIAMOND EIGHT TER
Mailing Address - Street 2:# 101
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-4435
Mailing Address - Country:US
Mailing Address - Phone:708-248-4375
Mailing Address - Fax:763-244-2021
Practice Address - Street 1:3208 DIAMOND EIGHT TER APT 101
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55421-4421
Practice Address - Country:US
Practice Address - Phone:708-248-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-22
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNSTS380827343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========Medicaid