Healthcare Provider Details

I. General information

NPI: 1770435547
Provider Name (Legal Business Name): UNIVERSAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 VAUX WAY
NEWNAN GA
30263-6239
US

IV. Provider business mailing address

3364 HARRISON RD
MONTGOMERY AL
36109-4351
US

V. Phone/Fax

Practice location:
  • Phone: 334-224-7128
  • Fax:
Mailing address:
  • Phone: 334-224-7128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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

VIII. Authorized Official

Name: SADE NICOLE LEWIS
Title or Position: OWNER
Credential:
Phone: 334-531-8615