Provider Demographics
NPI:1720431950
Name:AANDM TAXI LLC
Entity Type:Organization
Organization Name:AANDM TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RANCAK
Authorized Official - Suffix:V
Authorized Official - Credentials:
Authorized Official - Phone:815-690-3614
Mailing Address - Street 1:6905 COG CIR
Mailing Address - Street 2:2
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7353
Mailing Address - Country:US
Mailing Address - Phone:815-690-3614
Mailing Address - Fax:
Practice Address - Street 1:6905 COG CIR
Practice Address - Street 2:2
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7353
Practice Address - Country:US
Practice Address - Phone:815-690-3614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL68432766343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)