Provider Demographics
NPI:1275980534
Name:CITY CAB L.L.C
Entity Type:Organization
Organization Name:CITY CAB L.L.C
Other - Org Name:CITY CAB TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE SUPERVISOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TESFAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-333-3327
Mailing Address - Street 1:3010 MONROE RD STE 108D
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7533
Mailing Address - Country:US
Mailing Address - Phone:704-333-3327
Mailing Address - Fax:704-333-4441
Practice Address - Street 1:3010 MONROE RD STE 108D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7533
Practice Address - Country:US
Practice Address - Phone:704-333-3327
Practice Address - Fax:704-333-4441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY CAB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0176066343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)