Active NPI
Citizens Transportation LLC
- Non-emergency Medical Transport (VAN)
- Indianapolis, IN
National Provider Identifier
1104648716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CITIZENS TRANSPORTATION LLC
- Practice address
- 5826 Prairie Creek Dr
Indianapolis, IN 46254-5973 - Phone
- (317) 626-3113
- NPI assigned
- Oct 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanoah Beavers
- Title
- Owner
- Phone
- (317) 625-0052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
5826 Prairie Creek Dr
Indianapolis, IN 46254-5973
Mailing address
5826 Prairie Creek Dr
Indianapolis, IN 46254-5973
Phone (317) 626-3113
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729900800000",
"number": "1104648716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5826 PRAIRIE CREEK DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545973",
"telephone_number": "317-626-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5826 PRAIRIE CREEK DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545973",
"telephone_number": "317-626-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIZENS TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-26",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A",
"authorized_official_last_name": "BEAVERS",
"authorized_official_first_name": "TANOAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-625-0052"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.