Provider Demographics
NPI:1710622188
Name:THE TRANSPORTER AGENCY, LLC
Entity Type:Organization
Organization Name:THE TRANSPORTER AGENCY, LLC
Other - Org Name:THE TRANSPORTER AGENCY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INCORPORATOR/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:VIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-884-1174
Mailing Address - Street 1:11017 RIDGE PASS
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-1851
Mailing Address - Country:US
Mailing Address - Phone:404-884-1174
Mailing Address - Fax:
Practice Address - Street 1:11017 RIDGE PASS
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-1851
Practice Address - Country:US
Practice Address - Phone:404-884-1174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes342000000XTransportation ServicesTransportation Network Company
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty