Provider Demographics
NPI:1871156240
Name:WIOOS, LLC
Entity type:Organization
Organization Name:WIOOS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REP
Authorized Official - Prefix:
Authorized Official - First Name:KAREKEZI
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARELIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:REPRESENTATIVE
Authorized Official - Phone:210-683-0017
Mailing Address - Street 1:30 BADGERS HLS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1374
Mailing Address - Country:US
Mailing Address - Phone:210-683-0017
Mailing Address - Fax:
Practice Address - Street 1:8026 VANTAGE DR STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4730
Practice Address - Country:US
Practice Address - Phone:210-765-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-20
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker