Provider Demographics
NPI:1982398723
Name:ASSISTED TRANSPORT OF THE PALM BEACHES
Entity Type:Organization
Organization Name:ASSISTED TRANSPORT OF THE PALM BEACHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DERON
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-785-9551
Mailing Address - Street 1:2429 GREENGATE CIR APT H
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2429 GREENGATE CIR APT H
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7173
Practice Address - Country:US
Practice Address - Phone:954-955-9141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)