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? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 347C00000X | Transportation Services | Private Vehicle |