Healthcare Provider Details

I. General information

NPI: 1245160316
Provider Name (Legal Business Name): 777 TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6079 GLENWAY DR APT H
BROOKPARK OH
44142-1460
US

IV. Provider business mailing address

6079 GLENWAY DR APT H
BROOKPARK OH
44142-1460
US

V. Phone/Fax

Practice location:
  • Phone: 216-496-3345
  • Fax:
Mailing address:
  • Phone: 216-496-3345
  • 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: REYMON DE LA CRUZ
Title or Position: OWNER
Credential: NEMT
Phone: 216-496-3345