Provider Demographics
NPI:1700667698
Name:ON DEMAND EXPRESS LLC
Entity Type:Organization
Organization Name:ON DEMAND EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE
Authorized Official - Phone:205-703-2547
Mailing Address - Street 1:1220 CENTER POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-6310
Mailing Address - Country:US
Mailing Address - Phone:205-703-2547
Mailing Address - Fax:205-882-8125
Practice Address - Street 1:1220 CENTER POINT PKWY
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:AL
Practice Address - Zip Code:35215-6310
Practice Address - Country:US
Practice Address - Phone:205-703-2547
Practice Address - Fax:205-882-8125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty