Provider Demographics
NPI:1023487626
Name:C LUXX EXPRESS SHUTTLE LLC
Entity type:Organization
Organization Name:C LUXX EXPRESS SHUTTLE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:480-395-5595
Mailing Address - Street 1:3940 N CARNATION LN
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-3755
Mailing Address - Country:US
Mailing Address - Phone:480-395-5595
Mailing Address - Fax:623-243-5305
Practice Address - Street 1:3940 N CARNATION LN
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-3755
Practice Address - Country:US
Practice Address - Phone:480-395-5595
Practice Address - Fax:623-243-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD05854942343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)