Healthcare Provider Details

I. General information

NPI: 1518762715
Provider Name (Legal Business Name): WORLDWIDE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4712 S SAINT LAWRENCE AVE APT 2N
CHICAGO IL
60615-1521
US

IV. Provider business mailing address

5241 WILBUR AVE
TARZANA CA
91356-4026
US

V. Phone/Fax

Practice location:
  • Phone: 818-451-6170
  • Fax:
Mailing address:
  • Phone: 770-402-3237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: DWAYNE HAMPTON
Title or Position: CEO
Credential:
Phone: 770-402-3237