Provider Demographics
NPI:1043923790
Name:1ST CLASS TOP CHOICE SENIOR TRANSIT, LLC
Entity Type:Organization
Organization Name:1ST CLASS TOP CHOICE SENIOR TRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:DAVIS-BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-314-0383
Mailing Address - Street 1:23113 SHURMER DR
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4925
Mailing Address - Country:US
Mailing Address - Phone:216-314-0383
Mailing Address - Fax:216-763-9871
Practice Address - Street 1:23113 SHURMER DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-4925
Practice Address - Country:US
Practice Address - Phone:216-314-0383
Practice Address - Fax:216-763-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)