Provider Demographics
NPI:1063121135
Name:E&K TN LLC
Entity type:Organization
Organization Name:E&K TN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:EID
Authorized Official - Last Name:MAXIMOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-335-3650
Mailing Address - Street 1:3396 WOODLAND STAR WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-3381
Mailing Address - Country:US
Mailing Address - Phone:615-335-3650
Mailing Address - Fax:
Practice Address - Street 1:3396 WOODLAND STAR WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-3381
Practice Address - Country:US
Practice Address - Phone:615-335-3650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)