Provider Demographics
NPI:1477214328
Name:CHERUB CARE TRANSIT SERVICESLLC
Entity Type:Organization
Organization Name:CHERUB CARE TRANSIT SERVICESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UNGALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATCLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-466-6337
Mailing Address - Street 1:52 CARLSBAD DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7898
Mailing Address - Country:US
Mailing Address - Phone:601-466-6337
Mailing Address - Fax:
Practice Address - Street 1:52 CARLSBAD DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7898
Practice Address - Country:US
Practice Address - Phone:601-466-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)