Provider Demographics
NPI:1780005132
Name:CITIZENS CARE TRANS LLC
Entity type:Organization
Organization Name:CITIZENS CARE TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALEH
Authorized Official - Middle Name:ISHAG SALEH
Authorized Official - Last Name:BAROUKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-456-1560
Mailing Address - Street 1:3341 W DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2317
Mailing Address - Country:US
Mailing Address - Phone:336-456-1560
Mailing Address - Fax:602-854-7555
Practice Address - Street 1:3341 W DRAKE ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2317
Practice Address - Country:US
Practice Address - Phone:336-456-1560
Practice Address - Fax:602-854-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 373H00000X, 163WR0400X, 376J00000X
AZL18808290343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitationGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty