Healthcare Provider Details

I. General information

NPI: 1417812546
Provider Name (Legal Business Name): RKN TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 BELLEVUE AVE
BROCKTON MA
02302-1809
US

IV. Provider business mailing address

155 E GROVE ST UNIT 2
MIDDLEBORO MA
02346-2764
US

V. Phone/Fax

Practice location:
  • Phone: 508-345-7257
  • Fax:
Mailing address:
  • Phone: 508-345-7257
  • Fax: 508-345-7257

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: ROBENS ELIACIN
Title or Position: OPERATION MANAGER
Credential:
Phone: 508-345-7257