Provider Demographics
NPI:1588559694
Name:PREMIER ASSIST PLUS
Entity type:Organization
Organization Name:PREMIER ASSIST PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-984-2145
Mailing Address - Street 1:3703 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-6001
Mailing Address - Country:US
Mailing Address - Phone:760-984-2145
Mailing Address - Fax:
Practice Address - Street 1:5147 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63113-1103
Practice Address - Country:US
Practice Address - Phone:760-984-2145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILES N SMILES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)