Destination Care Medical Transport, LLC

Primary specialty

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

Legal business name

DESTINATION CARE MEDICAL TRANSPORT, LLC

Practice address

19446 Wapakoneta Cridersvle Rd
Wapakoneta, OH 45895-7638

Phone

(567) 712-1813

NPI assigned

Dec 18, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candria D Prowant

Title

Owner

Phone

(567) 712-1813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1053883801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19446 WAPAKONETA CRIDERSVLE RD",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957638",
            "telephone_number": "567-712-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19446 WAPAKONETA CRIDERSVLE RD",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957638",
            "telephone_number": "567-712-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION CARE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "PROWANT",
        "authorized_official_first_name": "CANDRIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-712-1813"
    },
    "taxonomies": [
        {
            "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 Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.