Healthcare Provider Details

I. General information

NPI: 1043139587
Provider Name (Legal Business Name): HR TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CRYSTAL DR
ATWATER CA
95301-4458
US

IV. Provider business mailing address

2460 CRYSTAL DR
ATWATER CA
95301-4458
US

V. Phone/Fax

Practice location:
  • Phone: 209-628-6373
  • Fax:
Mailing address:
  • Phone: 209-628-6373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR RODRIGUEZ SR.
Title or Position: OWNER
Credential:
Phone: 209-628-6373