Provider Demographics
NPI:1710725064
Name:PRESTIGE TRANSIT PRO LLC
Entity type:Organization
Organization Name:PRESTIGE TRANSIT PRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEDRIAN
Authorized Official - Middle Name:JAVON
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-737-4409
Mailing Address - Street 1:2006 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5953
Mailing Address - Country:US
Mailing Address - Phone:919-737-4409
Mailing Address - Fax:
Practice Address - Street 1:2006 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5953
Practice Address - Country:US
Practice Address - Phone:919-737-4409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No3416L0300XTransportation ServicesAmbulanceLand Transport
No342000000XTransportation ServicesTransportation Network Company