Healthcare Provider Details

I. General information

NPI: 1245159169
Provider Name (Legal Business Name): STREAMLINE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 E 8TH ST
SIOUX FALLS SD
57103
US

IV. Provider business mailing address

7950 S BERGAMOT AVE UNIT 2113
SIOUX FALLS SD
57108-3845
US

V. Phone/Fax

Practice location:
  • Phone: 267-304-8811
  • Fax:
Mailing address:
  • Phone: 267-304-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ANGIE KOFFA LEWIS
Title or Position: OWNER
Credential:
Phone: 267-304-8811