Provider Demographics
NPI:1619631306
Name:GEM-CITY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GEM-CITY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAYTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALMUNTAFKEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:937-546-2429
Mailing Address - Street 1:8760 MARDI GRAS DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-1047
Mailing Address - Country:US
Mailing Address - Phone:937-546-2429
Mailing Address - Fax:
Practice Address - Street 1:8760 MARDI GRAS DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-1047
Practice Address - Country:US
Practice Address - Phone:937-546-2429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)