Provider Demographics
NPI:1356238265
Name:BLACK EAGLE LIMOUSINE LLC
Entity type:Organization
Organization Name:BLACK EAGLE LIMOUSINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-834-9259
Mailing Address - Street 1:145 SHORT BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-4642
Mailing Address - Country:US
Mailing Address - Phone:202-834-9259
Mailing Address - Fax:
Practice Address - Street 1:145 SHORT BRANCH RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-4642
Practice Address - Country:US
Practice Address - Phone:202-834-9259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No251J00000XAgenciesNursing Care