Provider Demographics
NPI:1750863304
Name:SUNSET TRANSPORTATION MN LLC
Entity Type:Organization
Organization Name:SUNSET TRANSPORTATION MN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-406-0323
Mailing Address - Street 1:118 GRANDE ISLE AVE SW UNIT 3224
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3171
Mailing Address - Country:US
Mailing Address - Phone:832-406-0323
Mailing Address - Fax:
Practice Address - Street 1:118 GRANDE ISLE AVE SW UNIT 3224
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3171
Practice Address - Country:US
Practice Address - Phone:832-406-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)