Provider Demographics
NPI:1386399665
Name:MIHENRICHGROUP LLC
Entity type:Organization
Organization Name:MIHENRICHGROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OBIOMA
Authorized Official - Middle Name:STANHOPE
Authorized Official - Last Name:UBANI-UKOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-584-4810
Mailing Address - Street 1:4318 CHERRY GRV
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-1233
Mailing Address - Country:US
Mailing Address - Phone:951-588-4157
Mailing Address - Fax:
Practice Address - Street 1:4318 CHERRY GRV
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-1233
Practice Address - Country:US
Practice Address - Phone:951-588-4157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)