Provider Demographics
NPI:1518704014
Name:FIRST CLASS MOBILITY TRANSPORTATION LLC
Entity type:Organization
Organization Name:FIRST CLASS MOBILITY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-746-0399
Mailing Address - Street 1:1 MID AMERICA PLZ FL 3
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4450
Mailing Address - Country:US
Mailing Address - Phone:630-746-0399
Mailing Address - Fax:
Practice Address - Street 1:1 MID AMERICA PLZ FL 3
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4450
Practice Address - Country:US
Practice Address - Phone:630-746-0399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)