Provider Demographics
NPI:1982387320
Name:LEVEL 5 TRANSPORTATION LLC
Entity Type:Organization
Organization Name:LEVEL 5 TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEREMEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOMYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-283-6357
Mailing Address - Street 1:10544 WALNUT ST STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5358
Mailing Address - Country:US
Mailing Address - Phone:901-283-6359
Mailing Address - Fax:
Practice Address - Street 1:10544 WALNUT ST STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5358
Practice Address - Country:US
Practice Address - Phone:901-283-6359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker