Organization Active NPI

Triad Safe Choice Mobility LLC

  • Non-emergency Medical Transport (VAN)
  • Winston Salem, NC
National Provider Identifier
1053679399
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRIAD SAFE CHOICE MOBILITY LLC
Practice address
945 Yellowstone LN
Winston Salem, NC 27106-4027
Phone
(336) 987-9393
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mr. Theo Leander Kirkland
Title
President
Phone
(336) 987-9393

Specialties & licenses 1

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

Addresses

Primary practice location

945 Yellowstone LN
Winston Salem, NC 27106-4027

Mailing address

945 Yellowstone LN
Winston Salem, NC 27106-4027
Phone (336) 987-9393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1053679399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 YELLOWSTONE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064027",
            "telephone_number": "336-987-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 YELLOWSTONE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064027",
            "telephone_number": "336-987-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD SAFE CHOICE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "THEO",
        "authorized_official_middle_name": "LEANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-987-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.