Provider Demographics
NPI:1518781749
Name:FUTUREGRIT LLC
Entity type:Organization
Organization Name:FUTUREGRIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TADESSE
Authorized Official - Middle Name:GEBEYEHU
Authorized Official - Last Name:DIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-596-0651
Mailing Address - Street 1:5822 CHARLOTTE DR APT 1225
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3683
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5822 CHARLOTTE DR APT 1225
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3683
Practice Address - Country:US
Practice Address - Phone:415-596-0651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)