Provider Demographics
NPI:1215635313
Name:HILLSMAN TRANSPORATION, LLC
Entity type:Organization
Organization Name:HILLSMAN TRANSPORATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA/BS
Authorized Official - Phone:937-608-1622
Mailing Address - Street 1:5350 HIGHMEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2809
Mailing Address - Country:US
Mailing Address - Phone:937-608-1622
Mailing Address - Fax:
Practice Address - Street 1:811 WALTON AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-5332
Practice Address - Country:US
Practice Address - Phone:937-608-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle