Healthcare Provider Details

I. General information

NPI: 1275479024
Provider Name (Legal Business Name): CARETRANSIT TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 JESSICA ST
WESTON WI
54476-3684
US

IV. Provider business mailing address

6002 JESSICA ST
WESTON WI
54476-3684
US

V. Phone/Fax

Practice location:
  • Phone: 715-666-6143
  • Fax:
Mailing address:
  • Phone: 715-666-6143
  • 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: FUAD MOHAMUD FARAH
Title or Position: OWNER
Credential:
Phone: 715-666-6143