Provider Demographics
NPI:1073391504
Name:ELNORAS SENIOR TRANSIT LLC
Entity Type:Organization
Organization Name:ELNORAS SENIOR TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-793-2024
Mailing Address - Street 1:207 LACKELL AVE UNIT 10
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78226-1617
Mailing Address - Country:US
Mailing Address - Phone:210-793-2024
Mailing Address - Fax:
Practice Address - Street 1:207 LACKELL AVE UNIT 10
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78226-1617
Practice Address - Country:US
Practice Address - Phone:210-793-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELNORAS SENIOR TRANSIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)