Provider Demographics
NPI:1881251619
Name:STAR NONEMERGENT TRANSPORTATION,LLC
Entity type:Organization
Organization Name:STAR NONEMERGENT TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMAN
Authorized Official - Middle Name:PREET
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-214-6186
Mailing Address - Street 1:2601 OAKDALE ROAD STE H2 #164
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355
Mailing Address - Country:US
Mailing Address - Phone:209-214-6186
Mailing Address - Fax:209-222-3154
Practice Address - Street 1:2020 COFFEE RD STE I6
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2421
Practice Address - Country:US
Practice Address - Phone:209-214-6186
Practice Address - Fax:209-222-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)