Provider Demographics
NPI:1679218226
Name:N & E NEMT LLC
Entity Type:Organization
Organization Name:N & E NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:NNEKA
Authorized Official - Last Name:ONWUBUYA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:661-472-4897
Mailing Address - Street 1:99 REGENCY PKWY STE 113
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7818
Mailing Address - Country:US
Mailing Address - Phone:972-904-5760
Mailing Address - Fax:817-592-3323
Practice Address - Street 1:99 REGENCY PKWY STE 113
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7818
Practice Address - Country:US
Practice Address - Phone:972-904-5760
Practice Address - Fax:817-592-3323
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KND BEHAVIORAL HEALTH CLINIC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-28
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4177644Medicaid
TX1386292001Medicaid