Provider Demographics
NPI:1144111238
Name:VOYAGE ELITES
Entity type:Organization
Organization Name:VOYAGE ELITES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IYAKU
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL-RUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-699-9034
Mailing Address - Street 1:6825 W BROWN DEER RD UNIT 241986
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-6093
Mailing Address - Country:US
Mailing Address - Phone:414-699-9034
Mailing Address - Fax:
Practice Address - Street 1:W153N9707 NEPTUNE DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-5215
Practice Address - Country:US
Practice Address - Phone:414-699-9034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)