Provider Demographics
NPI:1831829258
Name:ROYAL KEYS TRANSPORT NEMT LLC
Entity type:Organization
Organization Name:ROYAL KEYS TRANSPORT NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-667-4469
Mailing Address - Street 1:16541 W TONTO ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4520
Mailing Address - Country:US
Mailing Address - Phone:480-667-4469
Mailing Address - Fax:
Practice Address - Street 1:1204 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1454
Practice Address - Country:US
Practice Address - Phone:602-922-5878
Practice Address - Fax:602-922-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA