Provider Demographics
NPI:1316820194
Name:TAYLORMADE 4U TRANSPORTATION
Entity type:Organization
Organization Name:TAYLORMADE 4U TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MS
Authorized Official - First Name:VALESHEIA
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:702-416-8370
Mailing Address - Street 1:5725 S VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3130
Mailing Address - Country:US
Mailing Address - Phone:702-763-2122
Mailing Address - Fax:
Practice Address - Street 1:5725 S VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3130
Practice Address - Country:US
Practice Address - Phone:702-763-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)