Provider Demographics
NPI:1891454500
Name:HEALING TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:HEALING TRANSPORTATION SERVICES LLC
Other - Org Name:PATERSON HEALING COLLECTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRASTEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-856-2687
Mailing Address - Street 1:100 HAMILTON PLZ STE 415
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-2104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 HAMILTON PLZ STE 415
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-2104
Practice Address - Country:US
Practice Address - Phone:973-856-2687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REIMAGINING JUSTICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)