Healthcare Provider Details

I. General information

NPI: 1083425680
Provider Name (Legal Business Name): IN TRANSITION TRANSPORT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 CANOVA ST SE STE B
PALM BAY FL
32909-4207
US

IV. Provider business mailing address

1789 CANOVA ST SE STE B
PALM BAY FL
32909-4207
US

V. Phone/Fax

Practice location:
  • Phone: 321-272-8821
  • Fax:
Mailing address:
  • Phone: 321-272-8821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ANAEVA VAZQUEZ FIGUEROA
Title or Position: PRESIDENT
Credential:
Phone: 321-272-8821