Provider Demographics
NPI:1629110440
Name:PORT CITY INVESTMENTS LLC
Entity Type:Organization
Organization Name:PORT CITY INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-727-3338
Mailing Address - Street 1:6400 SUNRISE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-5998
Mailing Address - Country:US
Mailing Address - Phone:916-727-3338
Mailing Address - Fax:916-727-3005
Practice Address - Street 1:6400 SUNRISE BLVD STE D
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-5998
Practice Address - Country:US
Practice Address - Phone:916-727-3338
Practice Address - Fax:916-727-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID NUMBER