Healthcare Provider Details
I. General information
NPI: 1144090440
Provider Name (Legal Business Name): RT DELIVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024
Certification Date: 01/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
664 BRIGHTON ST
PICKERINGTON OH
43147-8008
US
IV. Provider business mailing address
664 BRIGHTON ST
PICKERINGTON OH
43147-8008
US
V. Phone/Fax
- Phone: 614-353-3398
- Fax:
- Phone: 614-353-3398
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172A00000X |
| Taxonomy | Driver |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
REGINALD
AARON
THOMAS
SR.
Title or Position: DIRECTOR
Credential:
Phone: 614-353-3398