Provider Demographics
NPI:1730824327
Name:MORNINGSTAR TRANSIT
Entity type:Organization
Organization Name:MORNINGSTAR TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OGEDEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-879-4503
Mailing Address - Street 1:8 DEER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5500
Mailing Address - Country:US
Mailing Address - Phone:773-879-4503
Mailing Address - Fax:
Practice Address - Street 1:8 DEER CREEK CT
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-5500
Practice Address - Country:US
Practice Address - Phone:773-879-4503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)