Provider Demographics
NPI:1235673757
Name:TRUSTY TRANSIT, LLC
Entity Type:Organization
Organization Name:TRUSTY TRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATE'
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:BILLINGSLEY-WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-702-7423
Mailing Address - Street 1:3649 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-1653
Mailing Address - Country:US
Mailing Address - Phone:219-888-9660
Mailing Address - Fax:
Practice Address - Street 1:3649 PIERCE ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-1653
Practice Address - Country:US
Practice Address - Phone:219-888-9660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0550408473343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)