Provider Demographics
NPI:1588232995
Name:SMART TRANS LLC
Entity Type:Organization
Organization Name:SMART TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARFA
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-370-9461
Mailing Address - Street 1:5401 E VAN BUREN ST UNIT 3054
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-3469
Mailing Address - Country:US
Mailing Address - Phone:480-370-9661
Mailing Address - Fax:
Practice Address - Street 1:5401 E VAN BUREN ST UNIT 3054
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-3469
Practice Address - Country:US
Practice Address - Phone:480-370-9661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)