Provider Demographics
NPI:1144000720
Name:SHANOCH NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:SHANOCH NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-270-6936
Mailing Address - Street 1:5527 N UNION BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6980
Mailing Address - Country:US
Mailing Address - Phone:720-270-6936
Mailing Address - Fax:
Practice Address - Street 1:5527 N UNION BLVD STE 203
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6980
Practice Address - Country:US
Practice Address - Phone:720-270-6936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)