Healthcare Provider Details

I. General information

NPI: 1194540724
Provider Name (Legal Business Name): EVER' NEED RELIABLE TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 MCCANN RD UNIT 5223
LONGVIEW TX
75608-5042
US

IV. Provider business mailing address

4501 MCCANN RD UNIT 5223
LONGVIEW TX
75608-5042
US

V. Phone/Fax

Practice location:
  • Phone: 903-720-8450
  • Fax:
Mailing address:
  • Phone: 903-720-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHAWNDEL HERTZIG
Title or Position: CO-OWNER
Credential:
Phone: 541-729-0623