Provider Demographics
NPI:1881924561
Name:CONSOLIDATED FORTUNES INC
Entity type:Organization
Organization Name:CONSOLIDATED FORTUNES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:THLILLO
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-782-2553
Mailing Address - Street 1:855 MARINA BAY PARKWAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804
Mailing Address - Country:US
Mailing Address - Phone:540-782-2553
Mailing Address - Fax:510-969-7147
Practice Address - Street 1:855 MARINA BAY PARKWAY
Practice Address - Street 2:SUITE 220
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804
Practice Address - Country:US
Practice Address - Phone:540-782-2553
Practice Address - Fax:510-969-7147
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSOLIDATED FORTUNES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-02
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1362785343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)