Provider Demographics
NPI:1659056588
Name:SHIWA TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SHIWA TRANSPORTATION LLC
Other - Org Name:SHIWA TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FITHAWIT
Authorized Official - Middle Name:MISGUN
Authorized Official - Last Name:ABREHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-267-5632
Mailing Address - Street 1:3258 W BUCKINGHAM RD APT C
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4355
Mailing Address - Country:US
Mailing Address - Phone:945-267-5632
Mailing Address - Fax:
Practice Address - Street 1:3258 W BUCKINGHAM RD APT C
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4355
Practice Address - Country:US
Practice Address - Phone:945-267-5632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No332U00000XSuppliersHome Delivered Meals
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker