Community Transport Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

COMMUNITY TRANSPORT SERVICE LLC

Practice address

487 New Middleton Hwy
Gordonsville, TN 38563-6514

Phone

(931) 217-2458

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Manuel Caban

Title

Member

Phone

(931) 217-2458

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1023736394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 NEW MIDDLETON HWY",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636514",
            "telephone_number": "931-217-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 NEW MIDDLETON HWY",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636514",
            "telephone_number": "931-217-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TRANSPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-217-2458"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.