MEDICARE: SURE VENTURES HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1164375234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURE VENTURES HOLDINGS LLC

Provider Business Mailing Address
First Line	:	3000 SUMMIT BLVD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319
Country	:	US
Telephone Number	:	770-539-5460
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 SUMMIT BLVD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319
Country	:	US
Telephone Number	:	770-539-5460
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	VICTORIA D. COLEMAN
Credential	:
Telephone Number	:	770-539-5460

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/23/2026

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