Provider Demographics
NPI:1083306286
Name:WHEELY EFFECTIVE LLC
Entity Type:Organization
Organization Name:WHEELY EFFECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SYPNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-204-1377
Mailing Address - Street 1:720 18TH PL
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5468
Mailing Address - Country:US
Mailing Address - Phone:772-204-1377
Mailing Address - Fax:
Practice Address - Street 1:720 18TH PL
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5468
Practice Address - Country:US
Practice Address - Phone:772-204-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)