Organization Active NPI

Abc's of Life, Inc

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1104392661
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ABC'S OF LIFE, INC
Practice address
1779 Kirby Pkwy Ste 1-151
Memphis, TN 38138-3666
Phone
(901) 289-1956
Fax
(901) 794-2838
NPI assigned
Oct 22, 2018
Last updated
Oct 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Mr. Jeremy Nathaniel Whittaker, PH.D., MBA
Title
Cheif Operating Officer
Phone
(619) 289-1956

Specialties & licenses 1

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

Addresses

Primary practice location

1779 Kirby Pkwy Ste 1-151
Memphis, TN 38138-3666

Mailing address

1779 Kirby Pkwy Ste 1-151
Memphis, TN 38138-3666
Phone (901) 289-1956

National Provider Directory

National Provider Directory

Locations

1779 Kirby Pkwy
Ste 1151
Memphis, TN 38138
Phone (901) 289-1956

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1104392661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY STE 1-151",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383666",
            "telephone_number": "901-289-1956",
            "fax_number": "901-794-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY STE 1-151",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383666",
            "telephone_number": "901-289-1956",
            "fax_number": "901-794-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC'S OF LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "619-289-1956",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D., MBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.