Provider Demographics
NPI:1740685783
Name:CITITRANS
Entity type:Organization
Organization Name:CITITRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:BASSEY
Authorized Official - Last Name:MAKANJUOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-467-7942
Mailing Address - Street 1:13031 WIREVINE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2158
Mailing Address - Country:US
Mailing Address - Phone:310-467-7942
Mailing Address - Fax:281-402-8005
Practice Address - Street 1:13031 WIREVINE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2158
Practice Address - Country:US
Practice Address - Phone:310-467-7942
Practice Address - Fax:281-402-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care