Provider Demographics
NPI:1518524750
Name:HOME RUN TRANSPORTATION & SERVICES, LLC
Entity Type:Organization
Organization Name:HOME RUN TRANSPORTATION & SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-734-9423
Mailing Address - Street 1:PO BOX 2427
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-6811
Mailing Address - Country:US
Mailing Address - Phone:540-734-9423
Mailing Address - Fax:202-951-4217
Practice Address - Street 1:12600 HERITAGE AVE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-2143
Practice Address - Country:US
Practice Address - Phone:540-734-9423
Practice Address - Fax:202-951-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle