Provider Demographics
NPI:1629706759
Name:HOMETOWN TRANSIT TN, LLC.
Entity Type:Organization
Organization Name:HOMETOWN TRANSIT TN, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-263-0039
Mailing Address - Street 1:2525 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3404
Mailing Address - Country:US
Mailing Address - Phone:706-263-0039
Mailing Address - Fax:
Practice Address - Street 1:2525 FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3404
Practice Address - Country:US
Practice Address - Phone:706-263-0039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMETOWN TRANSIT CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company