=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457204273
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COAST TO COAST TRANSIT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2026
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12759 DUNNS VIEW DR
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32218-8083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-449-3949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12759 DUNNS VIEW DR
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32218-8083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-449-3949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | MRS. KIMBERLY NICHOLE SIMMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 904-449-3949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------