Healthcare Provider Details

I. General information

NPI: 1417875444
Provider Name (Legal Business Name): SILVER STREAK TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

909 EAGLES LANDING PKWY STE 400
STOCKBRIDGE GA
30281-6398
US

IV. Provider business mailing address

909 EAGLES LANDING PKWY STE 400
STOCKBRIDGE GA
30281-6398
US

V. Phone/Fax

Practice location:
  • Phone: 470-840-0387
  • Fax:
Mailing address:
  • Phone: 470-840-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. LAMARE ADAMS
Title or Position: OWNER
Credential:
Phone: 404-379-8299