Provider Demographics
NPI:1265201099
Name:WITHIN OUR REACH LLC
Entity type:Organization
Organization Name:WITHIN OUR REACH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:CLEO
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:757-769-5112
Mailing Address - Street 1:141 RUNAWAY BAY DR APT 111
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-8120
Mailing Address - Country:US
Mailing Address - Phone:757-670-5396
Mailing Address - Fax:
Practice Address - Street 1:141 RUNAWAY BAY DR APT 111
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-8120
Practice Address - Country:US
Practice Address - Phone:757-670-5396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)