Provider Demographics
NPI:1639855307
Name:BUSINESS ENTERPRISE
Entity Type:Organization
Organization Name:BUSINESS ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:470-651-5163
Mailing Address - Street 1:300 SOUTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-4238
Mailing Address - Country:US
Mailing Address - Phone:706-473-3061
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTHGATE DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-4238
Practice Address - Country:US
Practice Address - Phone:470-651-5163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health