Provider Demographics
NPI:1790224517
Name:TPHS TRANSPORTATION SERVICE, LLC
Entity Type:Organization
Organization Name:TPHS TRANSPORTATION SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-729-7594
Mailing Address - Street 1:2855 STAGE VILLAGE CV
Mailing Address - Street 2:8
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-4616
Mailing Address - Country:US
Mailing Address - Phone:901-729-7594
Mailing Address - Fax:
Practice Address - Street 1:2855 STAGE VILLAGE CV
Practice Address - Street 2:8
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-4616
Practice Address - Country:US
Practice Address - Phone:901-729-7594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)