Provider Demographics
NPI:1093899437
Name:COMMUNITY TRANSIT LLC
Entity Type:Organization
Organization Name:COMMUNITY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-288-6666
Mailing Address - Street 1:3702 W SAMPLE ST
Mailing Address - Street 2:SUITE 2204
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46619-2947
Mailing Address - Country:US
Mailing Address - Phone:574-288-6666
Mailing Address - Fax:574-288-6677
Practice Address - Street 1:3702 W SAMPLE ST
Practice Address - Street 2:SUITE 2204
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46619-2947
Practice Address - Country:US
Practice Address - Phone:574-288-6666
Practice Address - Fax:574-288-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343800000XTransportation ServicesSecured Medical Transport (VAN)
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)