Healthcare Provider Details

I. General information

NPI: 1417860719
Provider Name (Legal Business Name): CARE CONNECTION TRANSIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BISHOPS WAY STE 165
BROOKFIELD WI
53005-6249
US

IV. Provider business mailing address

120 BISHOPS WAY STE 165
BROOKFIELD WI
53005-6249
US

V. Phone/Fax

Practice location:
  • Phone: 414-355-5525
  • Fax: 414-240-3595
Mailing address:
  • Phone: 414-355-5525
  • Fax: 414-240-3595

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: MARTAVIA STANFORD
Title or Position: CEO
Credential:
Phone: 414-355-5525