Provider Demographics
NPI:1194134486
Name:GUIDING STAR TRANSIT
Entity type:Organization
Organization Name:GUIDING STAR TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:914-230-6612
Mailing Address - Street 1:80 VAN CORTLANDT PARK S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3039
Mailing Address - Country:US
Mailing Address - Phone:914-230-6612
Mailing Address - Fax:
Practice Address - Street 1:500 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2113
Practice Address - Country:US
Practice Address - Phone:914-230-6612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY987892902343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)