Provider Demographics
NPI:1699598227
Name:T&A TRANSPORTATION SOLUTIONS LLC
Entity type:Organization
Organization Name:T&A TRANSPORTATION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYSHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-701-0589
Mailing Address - Street 1:2052 SHERWOOD LAKE DRIVE
Mailing Address - Street 2:APT 4B
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2749
Mailing Address - Country:US
Mailing Address - Phone:708-701-0589
Mailing Address - Fax:
Practice Address - Street 1:2052 SHERWOOD LAKE DRIVE
Practice Address - Street 2:APT 4B
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2749
Practice Address - Country:US
Practice Address - Phone:708-701-0589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle