Provider Demographics
NPI:1174232839
Name:CONNECTION POINT FREIGHT CARRIERS LLC
Entity type:Organization
Organization Name:CONNECTION POINT FREIGHT CARRIERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THEARON
Authorized Official - Middle Name:KENNORD
Authorized Official - Last Name:MISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:820-667-6107
Mailing Address - Street 1:275 E HILLCREST DR # 246-160
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5827
Mailing Address - Country:US
Mailing Address - Phone:805-777-8866
Mailing Address - Fax:
Practice Address - Street 1:2223 LOS FELIZ DR APT 202
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-3093
Practice Address - Country:US
Practice Address - Phone:820-667-6107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)