Provider Demographics
NPI:1740608819
Name:ASSURE TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:ASSURE TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RELONDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-372-9888
Mailing Address - Street 1:1962 W HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-5772
Mailing Address - Country:US
Mailing Address - Phone:414-372-9888
Mailing Address - Fax:414-372-9884
Practice Address - Street 1:1962 W HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-5772
Practice Address - Country:US
Practice Address - Phone:414-372-9888
Practice Address - Fax:414-372-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100036728Medicaid