Provider Demographics
NPI:1376017335
Name:EARL TRANSPORT LLC
Entity Type:Organization
Organization Name:EARL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL CAROL
Authorized Official - Middle Name:CASTILLO
Authorized Official - Last Name:UMBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-628-8232
Mailing Address - Street 1:142 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2349
Mailing Address - Country:US
Mailing Address - Phone:808-628-8232
Mailing Address - Fax:808-621-1813
Practice Address - Street 1:142 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2349
Practice Address - Country:US
Practice Address - Phone:808-628-8232
Practice Address - Fax:808-621-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)