Provider Demographics
NPI:1639724784
Name:POSITIVE ENERGY IMPACT TRANSPORTATION'LLC
Entity Type:Organization
Organization Name:POSITIVE ENERGY IMPACT TRANSPORTATION'LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:CORNELL
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:HR
Authorized Official - Phone:202-714-2350
Mailing Address - Street 1:7312 WOOD HOLLOW TER
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2009
Mailing Address - Country:US
Mailing Address - Phone:202-714-2350
Mailing Address - Fax:
Practice Address - Street 1:7312 WOOD HOLLOW TER
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2009
Practice Address - Country:US
Practice Address - Phone:202-714-2350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)