MEDICARE: ELEVEN23 TRANSPORTATION 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)
2	344600000X	Taxi

General Provider Information

NPI Number	:	1710834882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVEN23 TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9 FORBES ST APT 2
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4858
Country	:	US
Telephone Number	:	617-307-8399
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 FORBES ST APT 2
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4858
Country	:	US
Telephone Number	:	617-307-8399
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA NWEKE
Credential	:
Telephone Number	:	617-307-8399

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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