MEDICARE: REIDS ELITE KARE 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	:	1558201350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIDS ELITE KARE LLC

Provider Business Mailing Address
First Line	:	11582 SW VILLAGE PKWY UNIT 146
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-2392
Country	:	US
Telephone Number	:	772-241-0475
Fax Number	:

Provider Business Practice Location Address
First Line	:	2185 ROBERT J CONLAN BLVD NE APT 101
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-2765
Country	:	US
Telephone Number	:	772-241-0475
Fax Number	:

Authorized Official
Title or Position	:	DRIVER/ SUPERVISOR
Name	:	SIMONE N REID
Credential	:
Telephone Number	:	954-548-0602

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	04/09/2026

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Directions to “REIDS ELITE KARE LLC ” Practice Location

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