Provider Demographics
NPI:1053149377
Name:UCM TRANSIT LLC
Entity type:Organization
Organization Name:UCM TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:VINEYARD
Authorized Official - Last Name:IZUCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-771-8946
Mailing Address - Street 1:8265 MIDDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-2136
Mailing Address - Country:US
Mailing Address - Phone:770-771-8946
Mailing Address - Fax:
Practice Address - Street 1:8265 MIDDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-2136
Practice Address - Country:US
Practice Address - Phone:770-771-8946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker