Healthcare Provider Details

I. General information

NPI: 1689581902
Provider Name (Legal Business Name): EXCEPTIONAL KIDS TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27403 SW 159TH PL
HOMESTEAD FL
33031-2421
US

IV. Provider business mailing address

27403 SW 159TH PL
HOMESTEAD FL
33031-2421
US

V. Phone/Fax

Practice location:
  • Phone: 786-525-6838
  • Fax: 786-525-6838
Mailing address:
  • Phone: 786-525-6838
  • Fax: 786-525-6838

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: GEISETT SUAREZ
Title or Position: OWNER
Credential: SUAREZ
Phone: 786-525-6838