Organization Active NPI

Elite Community Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Garland, TX
National Provider Identifier
1306644414
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELITE COMMUNITY TRANSPORTATION, LLC
Practice address
4402 Broadway Blvd Ste 14G
Garland, TX 75043-8263
Phone
(469) 530-3077
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shibu Samuel
Title
Ceo
Phone
(214) 394-6821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4402 Broadway Blvd Ste 14G
Garland, TX 75043-8263

Mailing address

4402 Broadway Blvd Ste 14G
Garland, TX 75043-8263
Phone (469) 530-3077

National Provider Directory

National Provider Directory

Locations

4402 Broadway Blvd
Ste 14G
Garland, TX 75043
Phone (469) 530-3077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1306644414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD STE 14G",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438263",
            "telephone_number": "469-530-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD STE 14G",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438263",
            "telephone_number": "469-530-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-394-6821"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.