Provider Demographics
NPI:1770323354
Name:YOUR TRANSPORTATION LLC.
Entity type:Organization
Organization Name:YOUR TRANSPORTATION LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-617-4623
Mailing Address - Street 1:600 FITZGERALD PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1055
Mailing Address - Country:US
Mailing Address - Phone:404-617-4623
Mailing Address - Fax:
Practice Address - Street 1:600 FITZGERALD PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-1055
Practice Address - Country:US
Practice Address - Phone:404-617-4623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUR TRANSPORTATION LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-30
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle