Provider Demographics
NPI:1881081487
Name:YOUNGEVITY TRANSPORT, INC.
Entity type:Organization
Organization Name:YOUNGEVITY TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSEF
Authorized Official - Middle Name:RUSHDI
Authorized Official - Last Name:HELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-775-0205
Mailing Address - Street 1:18531 ROSCOE BL.
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4643
Mailing Address - Country:US
Mailing Address - Phone:818-775-0205
Mailing Address - Fax:888-851-5575
Practice Address - Street 1:18531 ROSCOE BL.
Practice Address - Street 2:SUITE 220
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4643
Practice Address - Country:US
Practice Address - Phone:818-775-0205
Practice Address - Fax:888-851-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker