Provider Demographics
NPI:1407214679
Name:COMMINITY CHOICE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMMINITY CHOICE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-303-2751
Mailing Address - Street 1:1005 EAST 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:952-303-2751
Mailing Address - Fax:
Practice Address - Street 1:1005 E 24TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:952-303-2751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)