Charlie'S Angels Transit, LLC

Primary specialty

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

Legal business name

CHARLIE'S ANGELS TRANSIT, LLC

Practice address

667 Addison Dr
Wynne, AR 72396-1602

Phone

(870) 208-7113

NPI assigned

Nov 10, 2021

Organization subpart

No

Name

Katrina Ermayne HarrisNPI 1881358992

Title

Ceo

Phone

(870) 208-7113

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

• Charlie'S Angels Transit, LLC

  • PACE Provider Organization
  • Wynne, AR
  • NPI 1740946292
  NPD tax ID

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

• Katrina Ermayne Harris

  • Adult Development & Aging Psychologist
  • Wynne, AR
  • NPI 1881358992
  NPD Authorized official

Tax ID family

Charlie'S Angels Transit LLC (2 organizations share this tax ID)

Locations

• Charlie's Angels Transit,LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2021.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1043976343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ADDISON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961602",
            "telephone_number": "870-208-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 ADDISON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961602",
            "telephone_number": "870-208-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE'S ANGELS TRANSIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ERMAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-208-7113"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charliesangelstransit@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "charliesangelstransit@yahoo.com",
            "address_1": "667 Addison Dr",
            "city": "Wynne",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723961602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charlie's Angels Transit,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Donald Cathey, M.D.
• Changes Behavioral Health, LLC
• Ashley Nicole Chapman, COTA/L
• Brianna Nicole Chapman, COTA, L
• Michelle Frances Chapman, APRN
• Charlie'S Angels Transit, LLC
• Childers and Jackson Family Eye Care Inc.
• Kerry K Childers, O.D.
• Madison Grace Coats
• Valisya Coleman, LCSW

• All providers in Wynne, AR
• Non-emergency Medical Transport (VAN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.