Provider Demographics
NPI:1194507848
Name:SENIOR FLEXIBLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:SENIOR FLEXIBLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:KUCPIR
Authorized Official - Middle Name:RING
Authorized Official - Last Name:SANTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-868-7902
Mailing Address - Street 1:6716 N RANDALL CT APT 9
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1367
Mailing Address - Country:US
Mailing Address - Phone:816-663-2177
Mailing Address - Fax:
Practice Address - Street 1:6716 N RANDALL CT APT 9
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-1367
Practice Address - Country:US
Practice Address - Phone:816-663-2177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)