Provider Demographics
NPI:1912633728
Name:NOVIA NEM TRANSPORT INC
Entity Type:Organization
Organization Name:NOVIA NEM TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:HYACINTH
Authorized Official - Last Name:GARRIQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-665-5699
Mailing Address - Street 1:2537 WESTCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2475
Mailing Address - Country:US
Mailing Address - Phone:678-665-5699
Mailing Address - Fax:
Practice Address - Street 1:2537 WESTCHESTER WAY
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2475
Practice Address - Country:US
Practice Address - Phone:678-665-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport
No347C00000XTransportation ServicesPrivate Vehicle