Provider Demographics
NPI:1275330680
Name:MINAS MAMAY LLC
Entity type:Organization
Organization Name:MINAS MAMAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:MAMAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-974-3694
Mailing Address - Street 1:107 W TICONDEROGA DR APT A
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1387
Mailing Address - Country:US
Mailing Address - Phone:614-974-3694
Mailing Address - Fax:
Practice Address - Street 1:107 W TICONDEROGA DR APT A
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1387
Practice Address - Country:US
Practice Address - Phone:614-974-3694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINAS MAMAY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)