Provider Demographics
NPI:1639869936
Name:FIDELIS MOBILITY LLC
Entity Type:Organization
Organization Name:FIDELIS MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITANY
Authorized Official - Middle Name:LEONA
Authorized Official - Last Name:MCCANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-491-4211
Mailing Address - Street 1:50 FOUNTAN PLAZA
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202
Mailing Address - Country:US
Mailing Address - Phone:315-491-4211
Mailing Address - Fax:
Practice Address - Street 1:50 FOUNTAN PLAZA
Practice Address - Street 2:SUITE 1400
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202
Practice Address - Country:US
Practice Address - Phone:315-491-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)