MEDICARE: ELVIS 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	:	1457232563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELVIS LLC

Provider Business Mailing Address
First Line	:	12227 TAYLORS WAY
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9964
Country	:	US
Telephone Number	:	380-254-7106
Fax Number	:

Provider Business Practice Location Address
First Line	:	12227 TAYLORS WAY
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9964
Country	:	US
Telephone Number	:	380-254-7106
Fax Number	:

Authorized Official
Title or Position	:	MR
Name	:	ELVIS JOMIA
Credential	:
Telephone Number	:	380-254-7106

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	05/14/2026

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Directions to “ELVIS LLC ” Practice Location

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