Provider Demographics
NPI:1013623636
Name:BAYLINER TRANSIT L.L.C
Entity Type:Organization
Organization Name:BAYLINER TRANSIT L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:279-234-4455
Mailing Address - Street 1:1101 MARINA VILLAGE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6472
Mailing Address - Country:US
Mailing Address - Phone:279-234-4455
Mailing Address - Fax:
Practice Address - Street 1:1101 MARINA VILLAGE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-6472
Practice Address - Country:US
Practice Address - Phone:279-234-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)