Provider Demographics
NPI:1669227583
Name:SHSH TRANSPORTATION LLC
Entity type:Organization
Organization Name:SHSH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KETAW
Authorized Official - Middle Name:
Authorized Official - Last Name:BEREDED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-213-0387
Mailing Address - Street 1:14006 BROWNE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6086
Mailing Address - Country:US
Mailing Address - Phone:402-213-0387
Mailing Address - Fax:
Practice Address - Street 1:14006 BROWNE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6086
Practice Address - Country:US
Practice Address - Phone:402-213-0387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker