Provider Demographics
NPI:1730769837
Name:ZOOM SUPPORT AND TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:ZOOM SUPPORT AND TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:LINWOOD
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:215-989-9576
Mailing Address - Street 1:2738 ROOSEVELT BLVD APT 419
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2523
Mailing Address - Country:US
Mailing Address - Phone:267-257-2774
Mailing Address - Fax:
Practice Address - Street 1:2738 ROOSEVELT BLVD APT 419
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-2523
Practice Address - Country:US
Practice Address - Phone:267-257-2774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care