Provider Demographics
NPI:1447761838
Name:TIME EASY TRANSPORTATION,LLC
Entity Type:Organization
Organization Name:TIME EASY TRANSPORTATION,LLC
Other - Org Name:TIME EASY TRANSPORTATION,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMER
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-588-7420
Mailing Address - Street 1:33922 TEMECULA CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-9507
Mailing Address - Country:US
Mailing Address - Phone:951-588-7420
Mailing Address - Fax:
Practice Address - Street 1:33922 TEMECULA CREEK RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-9507
Practice Address - Country:US
Practice Address - Phone:951-588-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherNO EMERGENCY MEDICAL TRANSPORTATION