Provider Demographics
NPI:1053943191
Name:TRIPPLEWIN TRANSPORTATION AND DELIVERY SERVICE LLC
Entity type:Organization
Organization Name:TRIPPLEWIN TRANSPORTATION AND DELIVERY SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LAFAYETTE
Authorized Official - Last Name:WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA (FINANCE)
Authorized Official - Phone:240-361-7817
Mailing Address - Street 1:15242 WENTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4926
Mailing Address - Country:US
Mailing Address - Phone:240-361-7817
Mailing Address - Fax:
Practice Address - Street 1:15242 WENTWOOD LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4926
Practice Address - Country:US
Practice Address - Phone:240-361-7817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOGISTICARE SOLUTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-06
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)