Provider Demographics
NPI:1639550262
Name:TAXI & LIMOUSINE ONE, LLC
Entity Type:Organization
Organization Name:TAXI & LIMOUSINE ONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VIVELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-549-7770
Mailing Address - Street 1:5 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1905
Mailing Address - Country:US
Mailing Address - Phone:732-549-7777
Mailing Address - Fax:732-548-5540
Practice Address - Street 1:5 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1905
Practice Address - Country:US
Practice Address - Phone:732-549-7777
Practice Address - Fax:732-548-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)