Provider Demographics
NPI:1902033897
Name:TRANSIT AMERICA LLC
Entity Type:Organization
Organization Name:TRANSIT AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:DARALL
Authorized Official - Middle Name:GRAMAIN
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-730-9728
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:108B SIM DILL DR
Mailing Address - City:WASHINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30673-0066
Mailing Address - Country:US
Mailing Address - Phone:800-730-9728
Mailing Address - Fax:
Practice Address - Street 1:108B SIM DILL DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:GA
Practice Address - Zip Code:30673-5562
Practice Address - Country:US
Practice Address - Phone:800-730-9728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARENT ORGANIZATION LBN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053181966343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)