OrganizationProvital Transit, LlcNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address11433 Foggy Bank Ln, Charlotte, NC 28214-7149(980) 829-2125PECOS EnrollmentBased on the most recent information from CMS, provider Provital Transit, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134978307Provider TypeOrganizationFull NameProvital Transit, LlcSubpartNoEnumeration Date5/17/2024Last Updated5/17/2024Contact InformationPractice LocationPractice Address11433 Foggy Bank Ln, Charlotte, NC 28214-7149Phone(980) 829-2125FaxUnlisted FaxMailing LocationMailing Address11433 Foggy Bank Ln, Charlotte, NC 28214-7149Phone(980) 829-2125FaxUnlisted FaxAuthorized OfficialNameHooks, Kali J (Owner Manager)Phone(980) 829-2125Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer