Provider Demographics
NPI:1770102220
Name:VETERANS TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:VETERANS TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:629-200-5805
Mailing Address - Street 1:PO BOX 732
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37011-0732
Mailing Address - Country:US
Mailing Address - Phone:629-200-5805
Mailing Address - Fax:
Practice Address - Street 1:41 PEABODY ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2125
Practice Address - Country:US
Practice Address - Phone:629-200-5805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)