Provider Demographics
NPI:1497575773
Name:21&US, LLC
Entity type:Organization
Organization Name:21&US, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNWER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OPAFUNSO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:507-469-5303
Mailing Address - Street 1:2331 PARTRIDGEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4559
Mailing Address - Country:US
Mailing Address - Phone:346-244-8836
Mailing Address - Fax:
Practice Address - Street 1:11430 WEST RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4712
Practice Address - Country:US
Practice Address - Phone:346-244-8836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-12
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker