Organization Active NPI

Reprah Enterprises,LLC

  • Non-emergency Medical Transport (VAN)
  • Stone Mountain, GA
National Provider Identifier
1013219245
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
044016701 Issued in GA
Legal business name
REPRAH ENTERPRISES,LLC
Practice address
927 Granite Springs LN
Stone Mountain, GA 30083-5102
Phone
(404) 246-4544
Fax
(678) 949-9293
NPI assigned
Nov 19, 2010
Organization subpart
Yes
Parent organization
REPRAH ENTERPRISES,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Nicole HarperNPI 1730747064
Title
Coo
Phone
(404) 246-4544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 044016701 GA Primary

Addresses

Primary practice location

927 Granite Springs LN
Stone Mountain, GA 30083-5102

Mailing address

927 Granite Springs LN
Stone Mountain, GA 30083-5102
Phone (404) 246-4544

Other identifiers 1

IdentifierTypeStateIssuer
044016701OtherGADHR

National Provider Directory

National Provider Directory
Tax ID family
Reprah Enterprisesllc2 organizations share this tax ID, including this one
Part of
Reprah Enterprisesllc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1013219245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 GRANITE SPRINGS LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835102",
            "telephone_number": "404-246-4544",
            "fax_number": "678-949-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 GRANITE SPRINGS LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835102",
            "telephone_number": "404-246-4544",
            "fax_number": "678-949-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRAH ENTERPRISES,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REPRAH ENTERPRISES,LLC",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-246-4544"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "044016701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHR",
            "identifier": "044016701",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.