Provider Demographics
NPI:1710762026
Name:UMERITUS LLC
Entity Type:Organization
Organization Name:UMERITUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHUDI
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:OBIORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-515-9931
Mailing Address - Street 1:2222 N MCQUEEN RD APT 1111
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1311
Mailing Address - Country:US
Mailing Address - Phone:345-515-9931
Mailing Address - Fax:
Practice Address - Street 1:2222 N MCQUEEN RD APT 1111
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1311
Practice Address - Country:US
Practice Address - Phone:345-515-9931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)