Healthcare Provider Details
I. General information
NPI: 1205719713
Provider Name (Legal Business Name): STONY BIZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2025
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 EAGLE CT
SUTHERLIN OR
97479-9084
US
IV. Provider business mailing address
5900 BALCONES DR STE 8486
AUSTIN TX
78731-4257
US
V. Phone/Fax
- Phone: 541-391-3671
- Fax:
- Phone: 800-615-5417
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHANTAL
ROGERS - SATTERWHITE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 910-476-4098