Provider Demographics
NPI:1386471928
Name:COMMUNITY CARE TRANSIT
Entity type:Organization
Organization Name:COMMUNITY CARE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-947-2293
Mailing Address - Street 1:986 FIFTH AVE APT 69
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1789
Mailing Address - Country:US
Mailing Address - Phone:619-947-2293
Mailing Address - Fax:
Practice Address - Street 1:1350 COLUMBIA ST UNIT 503
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3455
Practice Address - Country:US
Practice Address - Phone:619-947-2293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)