MEDICARE: EN ROUTE TRANSIT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	344600000X	Taxi
3	347C00000X	Private Vehicle
4	172A00000X	Driver
5	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1538926225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EN ROUTE TRANSIT LLC

Provider Business Mailing Address
First Line	:	1607 ELDER WAY
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-6702
Country	:	US
Telephone Number	:	336-263-5859
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 ELDER WAY
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-6702
Country	:	US
Telephone Number	:	336-263-5859
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LOTOYA JEFFRIES POOLE
Credential	:
Telephone Number	:	336-263-5859

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	03/09/2024

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Directions to “EN ROUTE TRANSIT LLC ” Practice Location

Language	Start Address	Practice Location

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