MEDICARE: ELITE CARE TRANSPORTATION 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	:	1508714676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE CARE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	209 S 29TH AVE APT 206
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-7123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 S 29TH AVE APT 206
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-7123
Country	:	US
Telephone Number	:	769-280-9356
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS DANESHA NEWSON
Credential	:
Telephone Number	:	769-280-9356

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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