Provider Demographics
NPI:1700157633
Name:THE ROVER GROUP, INC.
Entity Type:Organization
Organization Name:THE ROVER GROUP, INC.
Other - Org Name:NEWMANN MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:NEWMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-357-5820
Mailing Address - Street 1:3755 AVOCADO BLVD # 213
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7301
Mailing Address - Country:US
Mailing Address - Phone:858-357-5820
Mailing Address - Fax:858-876-1937
Practice Address - Street 1:3755 AVOCADO BLVD # 213
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7301
Practice Address - Country:US
Practice Address - Phone:858-357-5820
Practice Address - Fax:858-876-1937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)