Provider Demographics
NPI:1336024579
Name:ADAPTIVE TRANSIT LLC
Entity type:Organization
Organization Name:ADAPTIVE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHESTAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-459-0386
Mailing Address - Street 1:22 DIGGINS DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3278
Mailing Address - Country:US
Mailing Address - Phone:916-459-0386
Mailing Address - Fax:
Practice Address - Street 1:22 DIGGINS DR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3278
Practice Address - Country:US
Practice Address - Phone:916-459-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)