Healthcare Provider Details

I. General information

NPI: 1710822929
Provider Name (Legal Business Name): NEEN TAXI SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 VOLUNTEER PKWY STE 4
BRISTOL TN
37620-4695
US

IV. Provider business mailing address

1141 VOLUNTEER PKWY STE 4
BRISTOL TN
37620-4695
US

V. Phone/Fax

Practice location:
  • Phone: 276-880-5705
  • Fax:
Mailing address:
  • Phone: 276-880-5705
  • 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 Code344600000X
TaxonomyTaxi
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: TEDDY RAY KEEN
Title or Position: PRESIDENT
Credential:
Phone: 276-880-5705