Provider Demographics
NPI:1598530669
Name:DIVINE PATHWAYS TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:DIVINE PATHWAYS TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-540-4833
Mailing Address - Street 1:3001 BROOKRUN DR
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-7721
Mailing Address - Country:US
Mailing Address - Phone:336-540-4833
Mailing Address - Fax:336-763-3653
Practice Address - Street 1:3001 BROOKRUN DR
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-7721
Practice Address - Country:US
Practice Address - Phone:336-340-4833
Practice Address - Fax:336-763-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No342000000XTransportation ServicesTransportation Network Company
No344600000XTransportation ServicesTaxiGroup - Single Specialty
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker