Provider Demographics
NPI:1811641384
Name:CONVY LLC
Entity type:Organization
Organization Name:CONVY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-809-4582
Mailing Address - Street 1:514 ACACIA CT
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5665
Mailing Address - Country:US
Mailing Address - Phone:909-809-4582
Mailing Address - Fax:909-583-9393
Practice Address - Street 1:301 9TH ST STE 100.171
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4412
Practice Address - Country:US
Practice Address - Phone:909-809-4582
Practice Address - Fax:909-583-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)