Provider Demographics
NPI:1578320412
Name:REHOBOTH NEM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:REHOBOTH NEM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENDEGENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-235-9070
Mailing Address - Street 1:2310 DANBURY LN
Mailing Address - Street 2:
Mailing Address - City:FORT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2843
Mailing Address - Country:US
Mailing Address - Phone:832-235-9070
Mailing Address - Fax:
Practice Address - Street 1:2310 DANBURY LN
Practice Address - Street 2:
Practice Address - City:FORT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-2843
Practice Address - Country:US
Practice Address - Phone:832-235-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)