Provider Demographics
NPI:1427338094
Name:TRANSIT TRIP, LLC
Entity type:Organization
Organization Name:TRANSIT TRIP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-913-3367
Mailing Address - Street 1:7570 147TH ST W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7560
Mailing Address - Country:US
Mailing Address - Phone:952-913-3367
Mailing Address - Fax:952-891-8485
Practice Address - Street 1:7570 147TH ST W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7560
Practice Address - Country:US
Practice Address - Phone:952-913-3367
Practice Address - Fax:952-891-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-26
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNBY 80795343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNUSDOT 2350120OtherDEPARTMENT OF TRANSPORTATION