Provider Demographics
NPI:1083018006
Name:MOBILITY TRANSPORTATION SPECIALISTS LLC
Entity Type:Organization
Organization Name:MOBILITY TRANSPORTATION SPECIALISTS LLC
Other - Org Name:CALIBER PATIENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:EBENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-424-0197
Mailing Address - Street 1:2711 FOX HILL DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53189-6844
Mailing Address - Country:US
Mailing Address - Phone:262-424-0197
Mailing Address - Fax:414-386-5135
Practice Address - Street 1:2711 FOX HILL DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53189-6844
Practice Address - Country:US
Practice Address - Phone:262-424-0197
Practice Address - Fax:414-386-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIM090327343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)