Provider Demographics
NPI:1811418957
Name:DIGNITY RESPECT TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:DIGNITY RESPECT TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-243-1008
Mailing Address - Street 1:15 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23664-2058
Mailing Address - Country:US
Mailing Address - Phone:757-243-1008
Mailing Address - Fax:757-500-1206
Practice Address - Street 1:15 TIFFANY LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23664-2058
Practice Address - Country:US
Practice Address - Phone:757-243-1008
Practice Address - Fax:757-500-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS6441390343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1356881700OtherNEMT