Healthcare Provider Details

I. General information

NPI: 1043157704
Provider Name (Legal Business Name): C.CURTIS PRIVATE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19523 N TOYA ST
MARICOPA AZ
85138-2930
US

IV. Provider business mailing address

19523 N TOYA ST
MARICOPA AZ
85138-2930
US

V. Phone/Fax

Practice location:
  • Phone: 520-222-9440
  • Fax:
Mailing address:
  • Phone: 520-222-9440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CONDA CHE CURTIS
Title or Position: OWNER
Credential:
Phone: 313-703-9675