Immaculate Transportation LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMMACULATE TRANSPORTATION LLC

Practice address

3337 N 16TH St
Milwaukee, WI 53206-2338

Phone

(414) 299-8187

NPI assigned

Nov 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronesha Bankhead

Title

Owner

Phone

(414) 299-8187

Specialties & licenses 1

Addresses

Tax ID family

Immaculate Transportation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Immaculate Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1134846033
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1346015781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062338",
            "telephone_number": "414-299-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "RONESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-299-8187"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ilic, M.D.
• Megan E. Ilse, LPC
• Imaad Support Services
• Nasvin Imamudeen, MD
• Immaculate Transportation LLC
• Grace Rothstein Immel, PA-C
• Impact Alcohol & Other Drug Abuse Services, Inc.
• Impact Physician Group, Wisconsin LLC
• Impacthealth
• Impacthealth, LLC

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.