Healthcare Provider Details

I. General information

NPI: 1841118908
Provider Name (Legal Business Name): ELITE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 BRIELLE LN
WIGGINS MS
39577-8011
US

IV. Provider business mailing address

18 BRIELLE LN
WIGGINS MS
39577-8011
US

V. Phone/Fax

Practice location:
  • Phone: 601-402-8653
  • Fax: 337-284-0949
Mailing address:
  • Phone: 601-402-8653
  • Fax: 337-284-0949

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: MS. GARY J ANDERSON
Title or Position: MANAGER/OWNER
Credential:
Phone: 337-288-6777