Provider Demographics
NPI:1871969790
Name:COMMUNITY TRANSIT CARE LLC
Entity type:Organization
Organization Name:COMMUNITY TRANSIT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-517-1365
Mailing Address - Street 1:726C N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:PAGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29728-1518
Mailing Address - Country:US
Mailing Address - Phone:843-517-1365
Mailing Address - Fax:
Practice Address - Street 1:726C N MAPLE ST
Practice Address - Street 2:
Practice Address - City:PAGELAND
Practice Address - State:SC
Practice Address - Zip Code:29728-1518
Practice Address - Country:US
Practice Address - Phone:843-517-1365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)