Provider Demographics
NPI:1700665346
Name:CITYSCAPE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CITYSCAPE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISANU
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-853-5969
Mailing Address - Street 1:12205 PLANO RD APT 1011
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5333
Mailing Address - Country:US
Mailing Address - Phone:469-853-5969
Mailing Address - Fax:
Practice Address - Street 1:12205 PLANO RD APT 1011
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5333
Practice Address - Country:US
Practice Address - Phone:469-853-5969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)