Provider Demographics
NPI:1497573562
Name:THE GO GO BUS TRANSPORTATION & SUPPORTIVE SERVICES, INC
Entity type:Organization
Organization Name:THE GO GO BUS TRANSPORTATION & SUPPORTIVE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-832-9008
Mailing Address - Street 1:246 VERDANT DR
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IN
Mailing Address - Zip Code:46034-0038
Mailing Address - Country:US
Mailing Address - Phone:317-973-2901
Mailing Address - Fax:
Practice Address - Street 1:246 VERDANT DR
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IN
Practice Address - Zip Code:46034-0038
Practice Address - Country:US
Practice Address - Phone:317-973-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle