Provider Demographics
NPI:1669178505
Name:360 TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:360 TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:APOVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-804-5007
Mailing Address - Street 1:1941 S 42ND ST STE 507
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2945
Mailing Address - Country:US
Mailing Address - Phone:888-218-8131
Mailing Address - Fax:402-242-6785
Practice Address - Street 1:1941 S 42ND ST STE 507
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2945
Practice Address - Country:US
Practice Address - Phone:888-218-8131
Practice Address - Fax:402-242-6785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)