Provider Demographics
NPI:1497382337
Name:DIVERSIFIED TRANSPORTATION SOLUTIONS
Entity Type:Organization
Organization Name:DIVERSIFIED TRANSPORTATION SOLUTIONS
Other - Org Name:GO TO WORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-541-0803
Mailing Address - Street 1:4240 PORTSMOUTH BLVD # 222
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2129
Mailing Address - Country:US
Mailing Address - Phone:757-541-0803
Mailing Address - Fax:804-548-4310
Practice Address - Street 1:4940 PORTSMOUTH BLVD. #222
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321
Practice Address - Country:US
Practice Address - Phone:757-541-0803
Practice Address - Fax:804-548-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
No347C00000XTransportation ServicesPrivate Vehicle