Provider Demographics
NPI:1730880188
Name:SACRED HANDS TRANSPORT LLC
Entity type:Organization
Organization Name:SACRED HANDS TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JIMESHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-665-2570
Mailing Address - Street 1:3737 Q ST APT 53
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1413
Mailing Address - Country:US
Mailing Address - Phone:702-665-2570
Mailing Address - Fax:
Practice Address - Street 1:3737 Q ST APT 53
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1413
Practice Address - Country:US
Practice Address - Phone:702-665-2570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SACRED HANDS TRANSPORT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)