Active NPI
Elite Community Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Garland, TX
National Provider Identifier
1306644414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.