Provider Demographics
NPI:1629726153
Name:BASIC DEVICES LLC
Entity Type:Organization
Organization Name:BASIC DEVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIGOZIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ONWUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-330-4391
Mailing Address - Street 1:4 RIEDL PL
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-3410
Mailing Address - Country:US
Mailing Address - Phone:508-330-4391
Mailing Address - Fax:
Practice Address - Street 1:4 RIEDL PL
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3410
Practice Address - Country:US
Practice Address - Phone:508-330-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)