MEDICARE: LUXE TRANSIT SOLUTIONS

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	:	1639896376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXE TRANSIT SOLUTIONS

Provider Business Mailing Address
First Line	:	1747 OLENTANGY RIVER RD # 1186
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8859 LAKE RIDGE DR
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-8610
Country	:	US
Telephone Number	:	937-312-7225
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBYN MONTGOMERY
Credential	:
Telephone Number	:	937-312-7225

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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