Provider Demographics
NPI:1023702560
Name:SHEMA14 TRANSPORTATION LLC
Entity type:Organization
Organization Name:SHEMA14 TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NON-EMERGENCY MEDICAL TRANSPORTATIO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEBA
Authorized Official - Middle Name:JAUHARA
Authorized Official - Last Name:OGEDENGBE
Authorized Official - Suffix:
Authorized Official - Credentials:CDL CLASS B DRIVER
Authorized Official - Phone:937-718-6603
Mailing Address - Street 1:2501 SPANISH TRL APT 211
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-1410
Mailing Address - Country:US
Mailing Address - Phone:937-718-6603
Mailing Address - Fax:
Practice Address - Street 1:2501 SPANISH TRL APT 211
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-1410
Practice Address - Country:US
Practice Address - Phone:937-718-6603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)