Provider Demographics
NPI:1689843005
Name:PERSONAL ASSISTANT SERVICES & TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:PERSONAL ASSISTANT SERVICES & TRANSPORTATION, LLC
Other - Org Name:PAST, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-437-7278
Mailing Address - Street 1:1405 N ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-4641
Mailing Address - Country:US
Mailing Address - Phone:812-437-7278
Mailing Address - Fax:812-437-9711
Practice Address - Street 1:1405 N ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-4641
Practice Address - Country:US
Practice Address - Phone:812-437-7278
Practice Address - Fax:812-437-9711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN54479343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200515620Medicaid