Provider Demographics
NPI:1700397155
Name:MICROBASE COMMUNICATIONS INC
Entity Type:Organization
Organization Name:MICROBASE COMMUNICATIONS INC
Other - Org Name:HAPPY FACE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHOLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-860-8889
Mailing Address - Street 1:1488 DEER PARK AVE # 329
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1208
Mailing Address - Country:US
Mailing Address - Phone:631-860-8889
Mailing Address - Fax:
Practice Address - Street 1:692 BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-1213
Practice Address - Country:US
Practice Address - Phone:631-860-8889
Practice Address - Fax:631-860-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)