Provider Demographics
NPI:1336529965
Name:PARADISE TRANSPORTATION SERVICE, LLC
Entity Type:Organization
Organization Name:PARADISE TRANSPORTATION SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-717-2750
Mailing Address - Street 1:PO BOX 14075
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-9775
Mailing Address - Country:US
Mailing Address - Phone:832-717-2750
Mailing Address - Fax:832-717-2750
Practice Address - Street 1:14434 OLD HUMBLE RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3331
Practice Address - Country:US
Practice Address - Phone:832-717-2750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)