Active NPI
Divine Care Transportation LLC
- Non-emergency Medical Transport (VAN)
- Pewaukee, WI
National Provider Identifier
1053063792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- DIVINE CARE TRANSPORTATION LLC
- Practice address
- N34W23199 Circle Ridge Rd Apt 110
Pewaukee, WI 53072-5776 - Phone
- (414) 759-9325
- NPI assigned
- Jan 24, 2022
- Last updated
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lachelle M Haney
- Title
- Owner
- Phone
- (414) 759-9325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
N34W23199 Circle Ridge Rd Apt 110
Pewaukee, WI 53072-5776
Mailing address
N19W24400 Riverwood Dr Ste 350
Waukesha, WI 53188-1182
Phone (262) 222-2806
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1053063792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N19W24400 RIVERWOOD DR STE 350",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881182",
"telephone_number": "262-222-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N34W23199 CIRCLE RIDGE RD APT 110",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725776",
"telephone_number": "414-759-9325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE CARE TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "LACHELLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-759-9325",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.