Provider Demographics
NPI:1447763412
Name:COMPASSION TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSION TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEVSTOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-247-1547
Mailing Address - Street 1:9307 HILLSBORO PL
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2548
Mailing Address - Country:US
Mailing Address - Phone:612-247-1547
Mailing Address - Fax:952-496-1122
Practice Address - Street 1:9307 HILLSBORO PL
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2548
Practice Address - Country:US
Practice Address - Phone:612-247-1547
Practice Address - Fax:952-496-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)