Provider Demographics
NPI:1730997743
Name:TARTEEL LLC
Entity type:Organization
Organization Name:TARTEEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-848-6588
Mailing Address - Street 1:106 JULIANA TER
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3802
Mailing Address - Country:US
Mailing Address - Phone:484-848-6588
Mailing Address - Fax:
Practice Address - Street 1:106 JULIANA TER
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3802
Practice Address - Country:US
Practice Address - Phone:484-848-6588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus