Provider Demographics
NPI:1982254314
Name:TRANSPORT HOUSING LLC
Entity type:Organization
Organization Name:TRANSPORT HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, HUMAN RESOURCES
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:BBA, MS, LNHA
Authorized Official - Phone:606-331-7135
Mailing Address - Street 1:9 SIMPSON DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-3929
Mailing Address - Country:US
Mailing Address - Phone:606-331-7135
Mailing Address - Fax:
Practice Address - Street 1:144 RUTHLAWN DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-8872
Practice Address - Country:US
Practice Address - Phone:760-399-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)