Healthcare Provider Details

I. General information

NPI: 1194645929
Provider Name (Legal Business Name): AZ CARE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5980 SCHROEDER RD APT D
MADISON WI
53711-2586
US

IV. Provider business mailing address

6709 RAYMOND RD
MADISON WI
53719-3943
US

V. Phone/Fax

Practice location:
  • Phone: 763-954-9055
  • Fax:
Mailing address:
  • Phone: 763-954-9055
  • 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: MR. ABDIWALI MUKTAR NUUR SR.
Title or Position: OWNER
Credential:
Phone: 763-954-9055