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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI # | 1164620803 |
| LBN Legal business name | TRISTATE DOMESTIC,LLC |
| Authorized official | DOMINICK IACOVIELLO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/04/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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TRISTATE DOMESTIC,LLC
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TRISTATE DOMESTIC,LLC