Provider Demographics
NPI:1851946362
Name:ELITE TRANSPORTATION ASSISTANCE LLC
Entity Type:Organization
Organization Name:ELITE TRANSPORTATION ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTENAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-765-7816
Mailing Address - Street 1:616 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-2550
Mailing Address - Country:US
Mailing Address - Phone:202-765-7816
Mailing Address - Fax:
Practice Address - Street 1:616 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-2550
Practice Address - Country:US
Practice Address - Phone:202-765-7816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)