Provider Demographics
NPI:1306667233
Name:TAJ CARE TARNSPORTATION LLC
Entity type:Organization
Organization Name:TAJ CARE TARNSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAGASIR
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:214-718-2301
Mailing Address - Street 1:701 E ALEXANDER LN
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-8957
Mailing Address - Country:US
Mailing Address - Phone:214-718-2301
Mailing Address - Fax:
Practice Address - Street 1:701 E ALEXANDER LN
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-8957
Practice Address - Country:US
Practice Address - Phone:817-353-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization