Provider Demographics
NPI:1831873322
Name:BASHAN RELIABLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:BASHAN RELIABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAROTIMI
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ADETIMEHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-320-5760
Mailing Address - Street 1:6125 EDWARD STREET
Mailing Address - Street 2:APT. 101
Mailing Address - City:NORFORK
Mailing Address - State:VA
Mailing Address - Zip Code:23513
Mailing Address - Country:US
Mailing Address - Phone:682-320-5760
Mailing Address - Fax:
Practice Address - Street 1:6125 EDWARD STREET
Practice Address - Street 2:APT. 101
Practice Address - City:NORFORK
Practice Address - State:VA
Practice Address - Zip Code:23513
Practice Address - Country:US
Practice Address - Phone:682-320-5760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)