MEDICARE: READY 2 ROLL 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1457202368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READY 2 ROLL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	7736 N 51ST ST
Second Line	:
City	:	BROWN DEER
State	:	WI
Zip	:	53223-4355
Country	:	US
Telephone Number	:	414-324-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	7736 N 51ST ST
Second Line	:
City	:	BROWN DEER
State	:	WI
Zip	:	53223-4355
Country	:	US
Telephone Number	:	414-324-4663
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DRIVER
Name	:	DONALD PORTER
Credential	:
Telephone Number	:	414-324-4663

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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