Provider Demographics
NPI:1295273191
Name:TWINS TRANSPORTATION SERVICES, L.L.C
Entity type:Organization
Organization Name:TWINS TRANSPORTATION SERVICES, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YETUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMONIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-716-9536
Mailing Address - Street 1:27500 BISHOP PARK DR
Mailing Address - Street 2:APT 705
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2789
Mailing Address - Country:US
Mailing Address - Phone:214-716-9536
Mailing Address - Fax:440-569-1563
Practice Address - Street 1:27500 BISHOP PARK DR
Practice Address - Street 2:APT 705
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-2789
Practice Address - Country:US
Practice Address - Phone:214-716-9536
Practice Address - Fax:440-569-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH180065343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0189975Medicaid