Provider Demographics
NPI:1659606671
Name:AUTUMN WIND PARATRANSIT INC
Entity Type:Organization
Organization Name:AUTUMN WIND PARATRANSIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-449-9013
Mailing Address - Street 1:22338 HARBOR RIDGE LN
Mailing Address - Street 2:6
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22338 HARBOR RIDGE LN
Practice Address - Street 2:6
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2434
Practice Address - Country:US
Practice Address - Phone:323-449-9013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)