Provider Demographics
NPI:1811676562
Name:EPOCH TRANSPORT LLC
Entity type:Organization
Organization Name:EPOCH TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-221-3025
Mailing Address - Street 1:435 ASHTON LN
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-3200
Mailing Address - Country:US
Mailing Address - Phone:410-307-3053
Mailing Address - Fax:
Practice Address - Street 1:435 ASHTON LN
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-3200
Practice Address - Country:US
Practice Address - Phone:410-307-3053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)