MEDICARE: ORT NEMT SERVICES 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	:	1639965692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORT NEMT SERVICES LLC

Provider Business Mailing Address
First Line	:	2705 TAHITI ISLE AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-0998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 TAHITI ISLE AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-0998
Country	:	US
Telephone Number	:	725-274-6541
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	TOMMIE SMITH
Credential	:
Telephone Number	:	725-274-6541

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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Directions to “ORT NEMT SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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