Provider Demographics
NPI:1952916959
Name:EAGLES TRANSPORTATION LLC
Entity Type:Organization
Organization Name:EAGLES TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUHASHISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-401-7357
Mailing Address - Street 1:1327 HIDEAWAY WOODS DR APT C
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5122
Mailing Address - Country:US
Mailing Address - Phone:614-401-7357
Mailing Address - Fax:
Practice Address - Street 1:1327 HIDEAWAY WOODS DR APT C
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-5122
Practice Address - Country:US
Practice Address - Phone:614-401-7357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)