Healthcare Provider Details

I. General information

NPI: 1063304251
Provider Name (Legal Business Name): CONNEXT TRANSIT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 MOUNTAIN ASH CT
WALDORF MD
20602-2639
US

IV. Provider business mailing address

3616 MOUNTAIN ASH CT
WALDORF MD
20602-2639
US

V. Phone/Fax

Practice location:
  • Phone: 614-218-4472
  • Fax:
Mailing address:
  • Phone: 614-218-4472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: KEIANA DAVIS
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 614-218-4472