MEDICARE: RELIABLE CARE TRANSIT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1174454482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE CARE TRANSIT LLC

Provider Business Mailing Address
First Line	:	109 GWYNNBROOK AVE # MD21117
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-2122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 GWYNNBROOK AVE # MD21117
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-2122
Country	:	US
Telephone Number	:	301-901-5095
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHARLES AJASSI
Credential	:
Telephone Number	:	480-235-8942

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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