Provider Demographics
NPI:1275237869
Name:OLIVE NON -EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:OLIVE NON -EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:OLIVE NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-847-2209
Mailing Address - Street 1:9411 GRAND SPARK DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3375
Mailing Address - Country:US
Mailing Address - Phone:832-847-2209
Mailing Address - Fax:
Practice Address - Street 1:9411 GRAND SPARK DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3375
Practice Address - Country:US
Practice Address - Phone:832-847-2209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)