Provider Demographics
NPI:1144929910
Name:NANAS TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:NANAS TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAILS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-300-3949
Mailing Address - Street 1:1440 CHURCH DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-3520
Mailing Address - Country:US
Mailing Address - Phone:937-300-3949
Mailing Address - Fax:
Practice Address - Street 1:1440 CHURCH DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-3520
Practice Address - Country:US
Practice Address - Phone:937-300-3949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)