Provider Demographics
NPI:1154831253
Name:LAS ENTERPRISES
Entity Type:Organization
Organization Name:LAS ENTERPRISES
Other - Org Name:CARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATANIA
Authorized Official - Middle Name:SAMMAY
Authorized Official - Last Name:PARKES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:331-212-6155
Mailing Address - Street 1:3500 SAINT ANNES CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-2021
Mailing Address - Country:US
Mailing Address - Phone:331-212-6155
Mailing Address - Fax:331-212-6155
Practice Address - Street 1:3500 SAINT ANNES CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-2021
Practice Address - Country:US
Practice Address - Phone:331-212-6155
Practice Address - Fax:331-212-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle