Provider Demographics
NPI:1689246969
Name:ELEY'S TRANSPORTATION AND DELIVERY LLC
Entity Type:Organization
Organization Name:ELEY'S TRANSPORTATION AND DELIVERY LLC
Other - Org Name:ET&D
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEY-GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-456-7715
Mailing Address - Street 1:284 W RUNYON ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-1436
Mailing Address - Country:US
Mailing Address - Phone:908-456-7715
Mailing Address - Fax:
Practice Address - Street 1:284 W RUNYON ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-1436
Practice Address - Country:US
Practice Address - Phone:908-456-7715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies