MEDICARE: AJACKS SHUTTLE SERVICE 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	:	1669123915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJACKS SHUTTLE SERVICE LLC

Provider Business Mailing Address
First Line	:	2603 W WALNUT ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1453
Country	:	US
Telephone Number	:	414-702-7533
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 W WALNUT ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1453
Country	:	US
Telephone Number	:	414-702-7533
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ANGELA JACKSON
Credential	:
Telephone Number	:	414-336-6092

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	01/18/2022

Similar Medicare Providers

1750033627 — STEPHANIE MAYES
Practice Location Address:

2603 W WALNUT ST
MILWAUKEE, WI
53205-1453

Practice Phone: 414-702-7533
Practice Fax:

1932691961 — COMFORT CHARIOTS LLC
Practice Location Address:

1453 N 34TH ST
MILWAUKEE, WI
53208-2310

Practice Phone: 414-510-0196
Practice Fax: 414-395-7658

1952049009 — SHAWANNA J STANLEY
Practice Location Address:

2128 N 16TH ST
MILWAUKEE, WI
53205-1214

Practice Phone: 414-882-0714
Practice Fax:

1952126823 — LEAP WAY LLC
Practice Location Address:

1436 N 26TH ST
MILWAUKEE, WI
53205-1821

Practice Phone: 414-526-8985
Practice Fax:

1689287252 — SARA ELIZABETH HAYES
Practice Location Address:

1228 W LLOYD ST STE 100
MILWAUKEE, WI
53205-1243

Practice Phone: 414-445-8020
Practice Fax:

1235911322 — ABUNDANCE OF LOVE, LLC
Practice Location Address:

1348 N 18TH ST
MILWAUKEE, WI
53205-2028

Practice Phone: 414-394-2940
Practice Fax:

Directions to “AJACKS SHUTTLE SERVICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.