Provider Demographics
NPI:1922759844
Name:TH SHUTTLE LLC
Entity Type:Organization
Organization Name:TH SHUTTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-961-1337
Mailing Address - Street 1:9213 SUNFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2819
Mailing Address - Country:US
Mailing Address - Phone:253-961-1337
Mailing Address - Fax:
Practice Address - Street 1:9213 SUNFLOWER DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2819
Practice Address - Country:US
Practice Address - Phone:253-961-1337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)