MEDICARE: ELISE EXPRESS SERVICES 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	:	1871448381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELISE EXPRESS SERVICES LLC

Provider Business Mailing Address
First Line	:	2600 CARVER ST STE C
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-2795
Country	:	US
Telephone Number	:	919-479-9054
Fax Number	:	919-213-7517

Provider Business Practice Location Address
First Line	:	2600 CARVER ST STE C
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-2795
Country	:	US
Telephone Number	:	919-479-9054
Fax Number	:	919-213-7517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NITISHA PAGE
Credential	:
Telephone Number	:	919-423-0794

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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