MEDICARE: ABLE TO ASSIST TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)	38267744	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417475807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE TO ASSIST TRANSPORTATION

Provider Business Mailing Address
First Line	:	2121 ORANGE BLOSSOM CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-4963
Country	:	US
Telephone Number	:	317-989-1078
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 ORANGE BLOSSOM CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-4963
Country	:	US
Telephone Number	:	317-989-1078
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GARRY PEARSON JR.
Credential	:	N/A
Telephone Number	:	317-989-1078

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	07/21/2022

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Directions to “ABLE TO ASSIST TRANSPORTATION ” Practice Location

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