Provider Demographics
NPI:1558975383
Name:BF EXECUTIVE COMMUTE LLC
Entity Type:Organization
Organization Name:BF EXECUTIVE COMMUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZANGELA
Authorized Official - Middle Name:VOGA
Authorized Official - Last Name:PERMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:475-777-6945
Mailing Address - Street 1:236 N STATE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-3071
Mailing Address - Country:US
Mailing Address - Phone:475-777-6945
Mailing Address - Fax:
Practice Address - Street 1:10133 AVALON GATES
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5836
Practice Address - Country:US
Practice Address - Phone:475-777-6944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)