Provider Demographics
NPI:1376146365
Name:R.A.E. TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:R.A.E. TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, QMHP-A/C, CEO
Authorized Official - Phone:804-324-8122
Mailing Address - Street 1:3516 E RICHMOND RD APT 19
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6859
Mailing Address - Country:US
Mailing Address - Phone:804-324-8122
Mailing Address - Fax:
Practice Address - Street 1:3516 E RICHMOND RD APT 19
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6859
Practice Address - Country:US
Practice Address - Phone:804-324-8122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)