Provider Demographics
NPI:1336869635
Name:TREE OF JOY SERVICES, LLC
Entity type:Organization
Organization Name:TREE OF JOY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:SIMEON
Authorized Official - Middle Name:
Authorized Official - Last Name:KPA
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:480-277-8454
Mailing Address - Street 1:7021 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-8502
Mailing Address - Country:US
Mailing Address - Phone:480-277-8454
Mailing Address - Fax:
Practice Address - Street 1:7021 N 19TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8502
Practice Address - Country:US
Practice Address - Phone:480-277-8454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)