Provider Demographics
NPI:1306693502
Name:HERCULES TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:HERCULES TRANSPORTATION SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR.
Authorized Official - Prefix:
Authorized Official - First Name:HERCULES
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:516-810-7496
Mailing Address - Street 1:PO BOX 6488
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-6488
Mailing Address - Country:US
Mailing Address - Phone:516-810-7496
Mailing Address - Fax:
Practice Address - Street 1:11001 DESERT SPARROW AVE
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-5379
Practice Address - Country:US
Practice Address - Phone:516-810-7496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERCULES TRANSPORTATION SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-04
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi