Provider Demographics
NPI:1285010819
Name:A-1 METRO TRANSPORTATION SERVICE, LLC
Entity Type:Organization
Organization Name:A-1 METRO TRANSPORTATION SERVICE, LLC
Other - Org Name:GRACE TRANSPORTATION SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VCE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAHA
Authorized Official - Middle Name:LATIMORE
Authorized Official - Last Name:SHARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-399-1205
Mailing Address - Street 1:8255 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6413
Mailing Address - Country:US
Mailing Address - Phone:804-399-1205
Mailing Address - Fax:877-244-4588
Practice Address - Street 1:8257 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6413
Practice Address - Country:US
Practice Address - Phone:804-399-9042
Practice Address - Fax:877-244-4588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)