=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356174320
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARETRANSIT SOLUTIONS & SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2024
-----------------------------------------------------
Last Update Date | 10/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 202 MAIN ST STE 111
-----------------------------------------------------
City | PEMBROKE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28372-5040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-857-8084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 715
-----------------------------------------------------
City | ROWLAND
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28383-0715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-857-8084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CHRISTOPHER GERALD
-----------------------------------------------------
Credential | NCCPSS
-----------------------------------------------------
Telephone | 910-584-8055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------