Healthcare Provider Details

I. General information

NPI: 1457089849
Provider Name (Legal Business Name): TRANSITCARE PLUS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14239 59TH CIR E
BRADENTON FL
34211-0739
US

IV. Provider business mailing address

14239 59TH CIR E
BRADENTON FL
34211-0739
US

V. Phone/Fax

Practice location:
  • Phone: 425-533-4570
  • Fax:
Mailing address:
  • Phone: 425-533-4570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: BOHDAN VORONENKO
Title or Position: DIRECTOR
Credential:
Phone: 425-533-4570