Provider Demographics
NPI:1780167023
Name:NIGHT OWL TAXI LLC
Entity type:Organization
Organization Name:NIGHT OWL TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:HOWINGTON
Authorized Official - Last Name:MATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-449-8118
Mailing Address - Street 1:523 VAN BUREN ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-3721
Mailing Address - Country:US
Mailing Address - Phone:239-449-8118
Mailing Address - Fax:
Practice Address - Street 1:523 VAN BUREN ST UNIT D
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-3721
Practice Address - Country:US
Practice Address - Phone:239-449-8118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes344600000XTransportation ServicesTaxi
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle