Provider Demographics
NPI:1245775592
Name:STAR TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:STAR TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERROD
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-275-7712
Mailing Address - Street 1:6307 MACBETH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5875
Mailing Address - Country:US
Mailing Address - Phone:804-275-7712
Mailing Address - Fax:804-855-1799
Practice Address - Street 1:6307 MACBETH CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5875
Practice Address - Country:US
Practice Address - Phone:804-275-7712
Practice Address - Fax:804-855-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT25025014343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)