Provider Demographics
NPI:1396490892
Name:ELOHA TRANSPORTATION LLC
Entity type:Organization
Organization Name:ELOHA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:BIRGANS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:708-965-9005
Mailing Address - Street 1:2133 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46404-3038
Mailing Address - Country:US
Mailing Address - Phone:708-965-9005
Mailing Address - Fax:
Practice Address - Street 1:2133 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-3038
Practice Address - Country:US
Practice Address - Phone:708-965-9005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle