Provider Demographics
NPI:1437560166
Name:NON EMERGENCY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:NON EMERGENCY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELINOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-632-7124
Mailing Address - Street 1:63 VIA PICO PLZ # 186
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-3998
Mailing Address - Country:US
Mailing Address - Phone:949-361-5553
Mailing Address - Fax:949-361-5076
Practice Address - Street 1:102 TERRAZA VISTA BAHIA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-3151
Practice Address - Country:US
Practice Address - Phone:949-632-7124
Practice Address - Fax:949-361-5076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEAD MACHINING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)