Provider Demographics
NPI:1023877180
Name:ROLLWELL TRANSPORT SOLUTIONS
Entity type:Organization
Organization Name:ROLLWELL TRANSPORT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STELLAH
Authorized Official - Middle Name:BOCHABERI
Authorized Official - Last Name:OMBASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-771-9826
Mailing Address - Street 1:3154 STEPHEN PACE TRL
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3910
Mailing Address - Country:US
Mailing Address - Phone:704-620-0923
Mailing Address - Fax:
Practice Address - Street 1:3154 STEPHEN PACE TRL
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3910
Practice Address - Country:US
Practice Address - Phone:704-620-0923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)