Organization Active NPI

Angel of Mercy Transportation

  • Non-emergency Medical Transport (VAN)
  • Kennard, TX
National Provider Identifier
1073094025
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGEL OF MERCY TRANSPORTATION
Doing business as
Angel Of Mercy Transportation
Practice address
16824 State Highway 7 E
Kennard, TX 75847-7584
Phone
(936) 655-2791
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Mr. Ray BostonNPI 1598015315
Title
Transport Driver
Phone
(936) 240-5964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

16824 State Highway 7 E
Kennard, TX 75847-7584

Mailing address

PO Box 182
Kennard, TX 75847-0182
Phone (936) 240-5964

Other names 1

  • Angel Of Mercy Transportation Doing business as

National Provider Directory

National Provider Directory
Part of
Angel of Mercy Transportation

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1073094025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "KENNARD",
            "state": "TX",
            "postal_code": "758470182",
            "telephone_number": "936-240-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16824 STATE HIGHWAY 7 E",
            "city": "KENNARD",
            "state": "TX",
            "postal_code": "758477584",
            "telephone_number": "936-655-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OF MERCY TRANSPORTATION",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "TRANSPORT  DRIVER",
        "authorized_official_telephone_number": "936-240-5964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Of Mercy Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angel Of Mercy Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.