Provider Demographics
NPI:1881439248
Name:81 TRANSPORTATION LLC
Entity type:Organization
Organization Name:81 TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATNAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-707-9688
Mailing Address - Street 1:601 ORANGE AVE NE APT 207
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-1503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 ORANGE AVE NE APT 207
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-1503
Practice Address - Country:US
Practice Address - Phone:540-855-0392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)