Shadow Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

SHADOW TRANSPORTATION LLC

Practice address

4805 Pear Light Rd
Manor, TX 78653-2638

Phone

(512) 299-4351

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Hailemariam N Desta

Title

Manager

Phone

(512) 363-7658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1083577969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 PEAR LIGHT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 PEAR LIGHT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532638",
            "telephone_number": "512-299-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-06",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "HAILEMARIAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-363-7658"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen V Smith, M.D.

• Secured Medical Transport (VAN) in Manor, TX
• Providers in Manor, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.