MEDICARE: N & E NEMT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679218226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N & E NEMT LLC

Provider Business Mailing Address
First Line	:	99 REGENCY PKWY STE 113
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7818
Country	:	US
Telephone Number	:	972-904-5760
Fax Number	:	817-592-3323

Provider Business Practice Location Address
First Line	:	99 REGENCY PKWY STE 113
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7818
Country	:	US
Telephone Number	:	972-904-5760
Fax Number	:	817-592-3323

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KIMBERLY NNEKA ONWUBUYA
Credential	:	APRN
Telephone Number	:	661-472-4897

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	08/18/2023

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Directions to “N & E NEMT LLC ” Practice Location

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