Shack Transport

LBN: Shack Transport
Shack Transport is an health care organization with primary practice located at 1240 Pensacola Rd , Forked River NJ 08731-5303. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Taxi, Nursing Service Related Providers / Adult Companion. Transportation Services / Taxi is the primary health care specialty. Shack Transport can be contacted via phone (732) 604-5762, or through Ramirez Diaz, Victoria Marie via phone (732) 604-5762.

Contact Information

Primary practice address
1240 Pensacola Rd Forked River NJ 08731-5303
Phone: (732) 604-5762
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ramirez Diaz, Victoria Marie
Phone: (732) 604-5762

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Taxi 344600000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1912475567
LBN Legal business name Shack Transport
DBA Doing business as
Authorized official Ramirez Diaz, Victoria Marie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2018
Last updated Jan 13th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers