Provider Demographics
NPI:1104217447
Name:CORNERSTONE TRANSIT LLC
Entity Type:Organization
Organization Name:CORNERSTONE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:NGUGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-455-0141
Mailing Address - Street 1:15 WESTBORO ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-3429
Mailing Address - Country:US
Mailing Address - Phone:978-455-0141
Mailing Address - Fax:
Practice Address - Street 1:15 WESTBORO ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-3429
Practice Address - Country:US
Practice Address - Phone:978-455-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS80105160343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)