Provider Demographics
NPI:1366258568
Name:DRIVEME LLC
Entity type:Organization
Organization Name:DRIVEME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-301-3082
Mailing Address - Street 1:18612 N 4TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5670
Mailing Address - Country:US
Mailing Address - Phone:480-910-6805
Mailing Address - Fax:
Practice Address - Street 1:3101 N CENTRAL AVE STE 158
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-3604
Practice Address - Country:US
Practice Address - Phone:602-301-3082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)