Organization Active NPI

1 Call Non-Emergency Transportation Service

  • Secured Medical Transport (VAN)
  • Balch Springs, TX
National Provider Identifier
1104540475
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Doing business as
On Site Auto Detail
Practice address
12704 Bruce Dr
Balch Springs, TX 75180-5301
Phone
(469) 774-7483
NPI assigned
Sep 30, 2022
Organization subpart
Yes
Parent organization
1 CALL NON-EMERGENCY TRANSPORTATION SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ray A Rougeaux
Title
Owner
Phone
(469) 774-7483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

12704 Bruce Dr
Balch Springs, TX 75180-5301

Mailing address

12704 Bruce Dr
Balch Springs, TX 75180-5301
Phone (469) 774-7483

Other identifiers 1

IdentifierTypeStateIssuer
1780304915MedicaidTX

Other names 1

  • On Site Auto Detail Doing business as

National Provider Directory

National Provider Directory
Part of
1 Call Non-Emergency Transportation Service

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1104540475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 BRUCE DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751805301",
            "telephone_number": "469-774-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 BRUCE DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751805301",
            "telephone_number": "469-774-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 CALL NON-EMERGENCY TRANSPORTATION SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1 CALL NON-EMERGENCY TRANSPORTATION SERVICE",
        "enumeration_date": "2022-09-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "A ROUGEAUX",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-774-7483"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780304915",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On Site Auto Detail",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "On Site Auto Detail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Balch Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.