Provider Demographics
NPI:1568027134
Name:ESSENTIAL PLUS TRANSPORTATION, INC
Entity Type:Organization
Organization Name:ESSENTIAL PLUS TRANSPORTATION, INC
Other - Org Name:DORIS UCHE-AWUKWAEGBU OGUNMAKIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER/CORPORATE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:HEATH
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICER
Authorized Official - Phone:916-205-3665
Mailing Address - Street 1:1309 HERMITAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330
Mailing Address - Country:US
Mailing Address - Phone:916-205-3556
Mailing Address - Fax:916-971-1504
Practice Address - Street 1:3460 HARMONY LANE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821
Practice Address - Country:US
Practice Address - Phone:916-979-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3589412OtherCORPORATE NUMBER