MEDICARE: WE SIMPLY CARE TRANSPORT & SERVICES 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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1588342117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE SIMPLY CARE TRANSPORT & SERVICES LLC

Provider Business Mailing Address
First Line	:	3124 N SOUTHERN HILLS DR
Second Line	:
City	:	WADSWORTH
State	:	IL
Zip	:	60083-8922
Country	:	US
Telephone Number	:	888-887-9322
Fax Number	:	888-887-9322

Provider Business Practice Location Address
First Line	:	3124 N SOUTHERN HILLS DR
Second Line	:
City	:	WADSWORTH
State	:	IL
Zip	:	60083-8922
Country	:	US
Telephone Number	:	888-887-9322
Fax Number	:	888-887-9322

Authorized Official
Title or Position	:	OWNER
Name	:	ALICIA MARIE HARRIS
Credential	:
Telephone Number	:	888-887-9322

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	07/05/2023

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