Provider Demographics
NPI:1922772540
Name:HOLMES IN TRANSIT LLC
Entity Type:Organization
Organization Name:HOLMES IN TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-777-4294
Mailing Address - Street 1:4911 W GOOD HOPE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-4840
Mailing Address - Country:US
Mailing Address - Phone:262-777-4294
Mailing Address - Fax:
Practice Address - Street 1:4911 W GOOD HOPE RD STE 112
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-4840
Practice Address - Country:US
Practice Address - Phone:262-777-4294
Practice Address - Fax:262-599-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)