=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043177934
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DEVOTION TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2026
-----------------------------------------------------
Last Update Date | 01/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1425 W 5TH ST STE 4
-----------------------------------------------------
City | WATERLOO
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50702-2951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-559-2183
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1024 4TH ST SW
-----------------------------------------------------
City | WAVERLY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50677-3753
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-559-2183
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ANGELA HAGEZE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 319-559-2183
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------