MEDICARE: SERENITY 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	:	1407654270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY TRANSIT LLC

Provider Business Mailing Address
First Line	:	708 HEARTLAND TRL STE 3000
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53717-2174
Country	:	US
Telephone Number	:	608-886-8231
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 HEARTLAND TRL
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53717-2172
Country	:	US
Telephone Number	:	608-886-8231
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAMLA A MOHAMED
Credential	:
Telephone Number	:	608-886-8231

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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