NPIMap

Organization Active NPI

Serenity Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Mansfield, TX
National Provider Identifier
1093471872
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SERENITY TRANSPORTATION LLC
Practice address
400 N State Highway 360 Apt 1026
Mansfield, TX 76063-3588
Phone
(317) 413-5205
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Antwain WadeNPI 1578227294
Title
Owner
Phone
(317) 413-5205

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

400 N State Highway 360 Apt 1026
Mansfield, TX 76063-3588

Mailing address

400 N State Highway 360 Apt 1026
Mansfield, TX 76063-3588
Phone (317) 413-5205

Other practice location 1

400 N State Highway 360 Apt 1026
Mansfield, TX 76063-3588
Phone (317) 413-5205

Other practice location 2

400 N State Highway 360 Apt 1026
Mansfield, TX 76063-3588
Phone (317) 413-5205

Other names 1

  • Serenity Transport LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1093471872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STATE HIGHWAY 360 APT 1026",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633588",
            "telephone_number": "317-413-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE HIGHWAY 360 APT 1026",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633588",
            "telephone_number": "317-413-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N State Highway 360 Apt 1026",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633588",
            "country_code": "US",
            "telephone_number": "317-413-5205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Highway 360 Apt 1026",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633588",
            "country_code": "US",
            "telephone_number": "317-413-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ANTWAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-413-5205"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.