Healthcare Provider Details

I. General information

NPI: 1649190778
Provider Name (Legal Business Name): TWILIGHT TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2092 S 102ND ST APT 208A
MILWAUKEE WI
53227-1321
US

IV. Provider business mailing address

2092 S 102ND ST APT 208A
MILWAUKEE WI
53227-1321
US

V. Phone/Fax

Practice location:
  • Phone: 262-265-9258
  • Fax: 262-265-9258
Mailing address:
  • Phone:
  • Fax: 262-265-9258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JONATHON CAMPBELL SR.
Title or Position: OWNER
Credential:
Phone: 262-265-9258