Provider Demographics
NPI:1811880826
Name:REHOBOTH NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:REHOBOTH NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASGEDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-859-4718
Mailing Address - Street 1:1942 CHARTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2376
Mailing Address - Country:US
Mailing Address - Phone:901-859-4718
Mailing Address - Fax:
Practice Address - Street 1:1942 CHARTRIDGE DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2376
Practice Address - Country:US
Practice Address - Phone:901-859-4718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle