Healthcare Provider Details

I. General information

NPI: 1811713282
Provider Name (Legal Business Name): N ROUTE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3489 N 76TH ST STE 201
MILWAUKEE WI
53222-3968
US

IV. Provider business mailing address

3489 N 76TH ST STE 201
MILWAUKEE WI
53222-3968
US

V. Phone/Fax

Practice location:
  • Phone: 414-436-9077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. TOYONA HADLEY
Title or Position: OWNER
Credential:
Phone: 414-436-9077