Provider Demographics
NPI:1518569185
Name:GO ELITE EXPRESS TRANSPORTATION
Entity Type:Organization
Organization Name:GO ELITE EXPRESS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:404-759-3194
Mailing Address - Street 1:404 W BRINKLEY LOOP APT 8
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-5060
Mailing Address - Country:US
Mailing Address - Phone:404-759-3194
Mailing Address - Fax:870-394-5839
Practice Address - Street 1:2415 LAUREL CIR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1237
Practice Address - Country:US
Practice Address - Phone:404-759-3194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)