Healthcare Provider Details

I. General information

NPI: 1801751573
Provider Name (Legal Business Name): SIM ELITE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 W PATIN ST
BREAUX BRIDGE LA
70517-5723
US

IV. Provider business mailing address

917 W PATIN ST
BREAUX BRIDGE LA
70517-5723
US

V. Phone/Fax

Practice location:
  • Phone: 832-404-0715
  • Fax:
Mailing address:
  • Phone: 832-404-0715
  • Fax:

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: DEION DAVIS
Title or Position: MANAGER
Credential:
Phone: 832-404-0715