Provider Demographics
NPI:1902272982
Name:ON THE MOVE TAXI & DELIVERY SERVICES
Entity Type:Organization
Organization Name:ON THE MOVE TAXI & DELIVERY SERVICES
Other - Org Name:ON THE MOVE TAXI & DELIVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:O
Authorized Official - Last Name:GUIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-276-6405
Mailing Address - Street 1:935 DURBIN ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:INDIANA
Mailing Address - Zip Code:46406
Mailing Address - Country:UM
Mailing Address - Phone:219-276-6405
Mailing Address - Fax:
Practice Address - Street 1:935 DURBIN ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46406-2114
Practice Address - Country:US
Practice Address - Phone:219-276-6405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN201303790344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201303790Medicaid