Provider Demographics
NPI:1164290383
Name:GRANDTRANSIT, LLC
Entity Type:Organization
Organization Name:GRANDTRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKIHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-200-8043
Mailing Address - Street 1:4101 BREMNER BLVD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3609
Mailing Address - Country:US
Mailing Address - Phone:804-200-8043
Mailing Address - Fax:
Practice Address - Street 1:4101 BREMNER BLVD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-3609
Practice Address - Country:US
Practice Address - Phone:804-200-8043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)