Provider Demographics
NPI:1851886766
Name:TRIPLE E TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRIPLE E TRANSPORTATION LLC
Other - Org Name:TRIPLE E TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KESENA
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:OLEITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-387-8068
Mailing Address - Street 1:23111 LEIGHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2772
Mailing Address - Country:US
Mailing Address - Phone:313-454-7123
Mailing Address - Fax:734-307-7719
Practice Address - Street 1:23111 LEIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-2772
Practice Address - Country:US
Practice Address - Phone:313-454-7123
Practice Address - Fax:734-307-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8352719OtherTRANSPORTATION