Provider Demographics
NPI:1013794668
Name:ORILEY NEMT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ORILEY NEMT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-727-3399
Mailing Address - Street 1:8355 CRESTWAY RD APT 721
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3590
Mailing Address - Country:US
Mailing Address - Phone:210-727-3399
Mailing Address - Fax:
Practice Address - Street 1:8355 CRESTWAY RD APT 721
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3590
Practice Address - Country:US
Practice Address - Phone:210-727-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343800000XTransportation ServicesSecured Medical Transport (VAN)