Provider Demographics
NPI:1497630388
Name:BEEP303 LLC
Entity type:Organization
Organization Name:BEEP303 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMOND
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-580-9852
Mailing Address - Street 1:1755 N PEBBLE CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2532
Mailing Address - Country:US
Mailing Address - Phone:480-383-9852
Mailing Address - Fax:
Practice Address - Street 1:15877 W DIAMOND ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-4143
Practice Address - Country:US
Practice Address - Phone:480-383-9852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)