Provider Demographics
NPI:1629758511
Name:REALPATH TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:REALPATH TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NTAMBARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-739-6006
Mailing Address - Street 1:3400 PLANTATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5199
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1621 NW 51ST ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528
Practice Address - Country:US
Practice Address - Phone:531-739-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)