Provider Demographics
NPI:1861926321
Name:NEMTRANSPORT
Entity type:Organization
Organization Name:NEMTRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENALDO
Authorized Official - Middle Name:KEIAUREE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-644-4793
Mailing Address - Street 1:2533 JUDSON ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-5823
Mailing Address - Country:US
Mailing Address - Phone:901-644-4793
Mailing Address - Fax:901-333-3494
Practice Address - Street 1:2533 JUDSON ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-5823
Practice Address - Country:US
Practice Address - Phone:901-644-4793
Practice Address - Fax:901-333-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker