Provider Demographics
NPI:1811350507
Name:NORTH COUNTY TRANSPORTATION LLC
Entity type:Organization
Organization Name:NORTH COUNTY TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CIRO
Authorized Official - Last Name:LEONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:769-727-4702
Mailing Address - Street 1:1285 DISTRIBUTION WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8817
Mailing Address - Country:US
Mailing Address - Phone:760-727-4702
Mailing Address - Fax:760-727-4714
Practice Address - Street 1:1285 DISTRIBUTION WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-8817
Practice Address - Country:US
Practice Address - Phone:760-727-4702
Practice Address - Fax:760-727-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSG0018228343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSG0018228OtherPUC