Organization · Type 2 NPI
Tristate Domestic,llc
Private Vehicle · East Orange, NJ
NPI number
1164620803
Active
Practice location
12 Everett St
East Orange, NJ 07017-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Other private vehicle providers in East Orange
About NPI 1164620803
Tristate Domestic,llc's National Provider Identifier is 1164620803, issued on Jul 4, 2007. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in East Orange, NJ. The record was last updated on Sep 11, 2025.