Healthcare Provider Details

I. General information

NPI: 1679419196
Provider Name (Legal Business Name): TRANSCARE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2433 N KNOXVILLE AVE
PEORIA IL
61604-3646
US

IV. Provider business mailing address

2433 N KNOXVILLE AVE
PEORIA IL
61604-3646
US

V. Phone/Fax

Practice location:
  • Phone: 309-218-6821
  • Fax:
Mailing address:
  • Phone: 309-218-6821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. GODWIN TECHIE
Title or Position: MANAGER
Credential:
Phone: 309-218-6821