Provider Demographics
NPI:1215790308
Name:CINCY ELITE TRANSPORTATION LLC
Entity type:Organization
Organization Name:CINCY ELITE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-510-3838
Mailing Address - Street 1:5426 EHRLING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1123
Mailing Address - Country:US
Mailing Address - Phone:513-510-3838
Mailing Address - Fax:513-731-6606
Practice Address - Street 1:5426 EHRLING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1123
Practice Address - Country:US
Practice Address - Phone:513-510-3838
Practice Address - Fax:513-731-6606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)