Provider Demographics
NPI:1013885664
Name:NAN TRANSPORTATION LLC
Entity type:Organization
Organization Name:NAN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KALKIDAN
Authorized Official - Middle Name:SHIMELIS
Authorized Official - Last Name:DESTA
Authorized Official - Suffix:
Authorized Official - Credentials:REV DR
Authorized Official - Phone:804-912-5578
Mailing Address - Street 1:5510 WINDY RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6341
Mailing Address - Country:US
Mailing Address - Phone:804-912-5578
Mailing Address - Fax:
Practice Address - Street 1:5510 WINDY RIDGE TER
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6341
Practice Address - Country:US
Practice Address - Phone:804-912-5578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company