MEDICARE: ZURI CARE 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)

General Provider Information

NPI Number	:	1811826472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZURI CARE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	19615 WILSON ST NW
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-5718
Country	:	US
Telephone Number	:	763-516-4064
Fax Number	:	763-516-4064

Provider Business Practice Location Address
First Line	:	19615 WILSON ST NW
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-5718
Country	:	US
Telephone Number	:	763-516-4064
Fax Number	:	763-516-4064

Authorized Official
Title or Position	:	OWNER
Name	:	JEREMIAH S BALISIDYA
Credential	:	BALISIDYA
Telephone Number	:	763-516-4064

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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