Provider Demographics
NPI:1902382336
Name:ENM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ENM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALINA
Authorized Official - Middle Name:PASCUAL
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-347-0611
Mailing Address - Street 1:94-144 KAAHOLO PLACE
Mailing Address - Street 2:
Mailing Address - City:WALPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797
Mailing Address - Country:US
Mailing Address - Phone:808-347-0611
Mailing Address - Fax:
Practice Address - Street 1:94-144 KAAHOLO PLACE
Practice Address - Street 2:
Practice Address - City:WALPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-347-0611
Practice Address - Fax:808-678-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIWH-150-127-6160-01343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)