Healthcare Provider Details

I. General information

NPI: 1922916717
Provider Name (Legal Business Name): CARE BRIDGE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 COMMERCE ST
HOLMEN WI
54636-9323
US

IV. Provider business mailing address

55 COMMERCE ST
HOLMEN WI
54636-9323
US

V. Phone/Fax

Practice location:
  • Phone: 608-406-5967
  • Fax:
Mailing address:
  • Phone: 608-406-5967
  • 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: LUE VANG
Title or Position: MANAGING MEMBER
Credential:
Phone: 608-406-5967