Healthcare Provider Details

I. General information

NPI: 1831029024
Provider Name (Legal Business Name): ELITE TRANSPORTATION AND ELDERLY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5561 PINE NEEDLE CT
WEST CHESTER OH
45069-1842
US

IV. Provider business mailing address

5561 PINE NEEDLE CT
WEST CHESTER OH
45069-1842
US

V. Phone/Fax

Practice location:
  • Phone: 513-319-5371
  • Fax: 513-676-2111
Mailing address:
  • Phone: 513-319-5371
  • Fax: 513-676-2111

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. NEDRA R POLK
Title or Position: CEO
Credential: LNHA,CEAL,CEHCH,HSE
Phone: 513-319-5371