Provider Demographics
NPI:1184304123
Name:Z DELUXE TRANSPORTATION LLC
Entity type:Organization
Organization Name:Z DELUXE TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TESFAMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-408-3114
Mailing Address - Street 1:17820 WINDFLOWER WAY UNIT 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5208
Mailing Address - Country:US
Mailing Address - Phone:405-408-3114
Mailing Address - Fax:
Practice Address - Street 1:17820 WINDFLOWER WAY UNIT 103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5208
Practice Address - Country:US
Practice Address - Phone:405-408-3114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No332U00000XSuppliersHome Delivered Meals
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)