Provider Demographics
NPI:1194560664
Name:SIMPLY DELIVERY LLC
Entity type:Organization
Organization Name:SIMPLY DELIVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:347-444-2831
Mailing Address - Street 1:603 PROSPECT AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3315
Mailing Address - Country:US
Mailing Address - Phone:347-444-2831
Mailing Address - Fax:
Practice Address - Street 1:603 PROSPECT AVE APT 4B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3315
Practice Address - Country:US
Practice Address - Phone:347-444-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes344600000XTransportation ServicesTaxi
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered Meals