Provider Demographics
NPI:1952159139
Name:PARADOX CARE TRANSIT LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:PARADOX CARE TRANSIT LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:OLIVE
Authorized Official - Last Name:KANYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-213-6643
Mailing Address - Street 1:6223 CRESTRIDGE AVE SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-1013
Mailing Address - Country:US
Mailing Address - Phone:319-533-6512
Mailing Address - Fax:
Practice Address - Street 1:6223 CRESTRIDGE AVE SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1013
Practice Address - Country:US
Practice Address - Phone:319-533-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)