Provider Demographics
NPI:1336959493
Name:BOSMA TRANS INC
Entity type:Organization
Organization Name:BOSMA TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:MBAZIIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-788-7172
Mailing Address - Street 1:60 RUSS ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-1737
Mailing Address - Country:US
Mailing Address - Phone:832-788-7172
Mailing Address - Fax:
Practice Address - Street 1:60 RUSS ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-1737
Practice Address - Country:US
Practice Address - Phone:832-788-7172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care