Healthcare Provider Details

I. General information

NPI: 1093899437
Provider Name (Legal Business Name): COMMUNITY TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 W SAMPLE ST SUITE 2204
SOUTH BEND IN
46619-2947
US

IV. Provider business mailing address

3702 W SAMPLE ST SUITE 2204
SOUTH BEND IN
46619-2947
US

V. Phone/Fax

Practice location:
  • Phone: 574-288-6666
  • Fax: 574-288-6677
Mailing address:
  • Phone: 574-288-6666
  • Fax: 574-288-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateIN

VIII. Authorized Official

Name: MS. SHANA M SAIN
Title or Position: CEO
Credential:
Phone: 574-288-6666