=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790608636
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIS ACQUISITION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2026
-----------------------------------------------------
Last Update Date | 07/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 HANCOCK ST STE 5
-----------------------------------------------------
City | STRATFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06615-6259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-265-1084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2311 M ST NW APT 703
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20037-1462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-563-1858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. DANIEL J DUMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 361-563-1858
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------