Provider Demographics
NPI:1497513907
Name:ROLLING WHEELS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ROLLING WHEELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-922-2000
Mailing Address - Street 1:3465 S GAYLORD CT # C205
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3157
Mailing Address - Country:US
Mailing Address - Phone:347-922-2000
Mailing Address - Fax:
Practice Address - Street 1:3465 S GAYLORD CT # C205
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3157
Practice Address - Country:US
Practice Address - Phone:347-922-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle