Provider Demographics
NPI:1083449110
Name:NATIONWIDE VENTURE LLC
Entity type:Organization
Organization Name:NATIONWIDE VENTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAOFEEK
Authorized Official - Middle Name:OLOWOOKERE
Authorized Official - Last Name:VENTURES
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS,CCRC
Authorized Official - Phone:919-808-9251
Mailing Address - Street 1:3130 BRYCEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-4687
Mailing Address - Country:US
Mailing Address - Phone:919-808-9251
Mailing Address - Fax:
Practice Address - Street 1:3130 BRYCEWOOD CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-4687
Practice Address - Country:US
Practice Address - Phone:919-808-9251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle