Healthcare Provider Details

I. General information

NPI: 1669386686
Provider Name (Legal Business Name): CHEYANNE TRANSPORTATION L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MONUMENT WALK APT 7A
BROOKLYN NY
11205-1800
US

IV. Provider business mailing address

24 MONUMENT WALK APT 7A
BROOKLYN NY
11205-1800
US

V. Phone/Fax

Practice location:
  • Phone: 929-481-1807
  • Fax:
Mailing address:
  • Phone: 929-481-1807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHEYANNE JAMISON
Title or Position: CEO
Credential:
Phone: 929-481-1807