Organization Active NPI

Five G Services LLC

  • Non-emergency Medical Transport (VAN)
  • Orange Park, FL
National Provider Identifier
1033708417
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FIVE G SERVICES LLC
Practice address
2900 Plum Orchard Dr
Orange Park, FL 32073-1606
Phone
(954) 934-5447
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Kentwan Everett
Title
Owner
Phone
(954) 934-5447

Specialties & licenses 1

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

Addresses

Primary practice location

2900 Plum Orchard Dr
Orange Park, FL 32073-1606

Mailing address

2900 Plum Orchard Dr
Orange Park, FL 32073-1606
Phone (954) 934-5447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1033708417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PLUM ORCHARD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731606",
            "telephone_number": "954-934-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PLUM ORCHARD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731606",
            "telephone_number": "954-934-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE G SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "KENTWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-934-5447"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.