Healthcare Provider Details

I. General information

NPI: 1588342117
Provider Name (Legal Business Name): WE SIMPLY CARE TRANSPORT & SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 N SOUTHERN HILLS DR
WADSWORTH IL
60083-8922
US

IV. Provider business mailing address

3124 N SOUTHERN HILLS DR
WADSWORTH IL
60083-8922
US

V. Phone/Fax

Practice location:
  • Phone: 888-887-9322
  • Fax: 888-887-9322
Mailing address:
  • Phone: 888-887-9322
  • Fax: 888-887-9322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ALICIA MARIE HARRIS
Title or Position: OWNER
Credential:
Phone: 888-887-9322