MEDICARE: PRESENCE NON-EMERGENCY MEDICAL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1164373064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESENCE NON-EMERGENCY MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1128 CACTUS SPINE DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-2899
Country	:	US
Telephone Number	:	719-640-7756
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 CACTUS SPINE DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-2899
Country	:	US
Telephone Number	:	719-640-7756
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	VANCE ASHLEY HARDGRAVES
Credential	:
Telephone Number	:	719-640-7756

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/13/2026

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