Heavenly Transportation & Services

Primary specialty

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

Legal business name

HEAVENLY TRANSPORTATION & SERVICES

Practice address

5827 Treasure Cove Rd
Cove, TX 77523-1508

Phone

(786) 797-0382

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Tamara Gordon

Title

Ceo

Phone

(786) 797-0382

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1053901538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 TREASURE COVE RD",
            "city": "COVE",
            "state": "TX",
            "postal_code": "775231508",
            "telephone_number": "786-797-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 TREASURE COVE RD",
            "city": "COVE",
            "state": "TX",
            "postal_code": "775231508",
            "telephone_number": "786-797-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TRANSPORTATION & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-797-0382"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cove, TX
• Providers in Cove, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.