Healthcare Provider Details

I. General information

NPI: 1447026810
Provider Name (Legal Business Name): RICHMOND LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 FLAT SHOALS RD APT 1802
ATLANTA GA
30349-4373
US

IV. Provider business mailing address

2555 FLAT SHOALS RD APT 1802
ATLANTA GA
30349-4373
US

V. Phone/Fax

Practice location:
  • Phone: 678-707-1340
  • Fax: 770-825-9272
Mailing address:
  • Phone: 678-707-1340
  • Fax: 770-825-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN RICHMOND
Title or Position: MANAGER DIRECTOR
Credential:
Phone: 678-707-1340