Provider Demographics
NPI:1518495787
Name:BERVA LLC
Entity Type:Organization
Organization Name:BERVA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-805-9018
Mailing Address - Street 1:3006 SAN MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-3761
Mailing Address - Country:US
Mailing Address - Phone:817-805-9018
Mailing Address - Fax:
Practice Address - Street 1:3006 SAN MARTIN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-3761
Practice Address - Country:US
Practice Address - Phone:817-805-9018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)