Healthcare Provider Details

I. General information

NPI: 1003708694
Provider Name (Legal Business Name): NINTOS HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 N TUCANA LN
GILBERT AZ
85234-1423
US

IV. Provider business mailing address

1273 E HAMPTON LN
GILBERT AZ
85295-6159
US

V. Phone/Fax

Practice location:
  • Phone: 480-606-2123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. IVEN E WILSON
Title or Position: COO/PRESIDENT
Credential:
Phone: 480-466-1239