Provider Demographics
NPI:1194604348
Name:ON THE ROLL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ON THE ROLL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DEVONTE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-354-7448
Mailing Address - Street 1:3533 FERNCLIFF AVE NW APT J119
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-1438
Mailing Address - Country:US
Mailing Address - Phone:540-354-7448
Mailing Address - Fax:
Practice Address - Street 1:3533 FERNCLIFF AVE NW APT J119
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-1438
Practice Address - Country:US
Practice Address - Phone:540-354-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)