Organization Active NPI

Secu-Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Lake Wales, FL
National Provider Identifier
1114420809
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SECU-TRANS LLC
Practice address
228 S 1St St
Lake Wales, FL 33853-4142
Phone
(305) 999-7458
NPI assigned
Mar 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Yaikimi Jimenez
Title
Manager
Phone
(305) 999-7458

Specialties & licenses 1

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

Addresses

Primary practice location

228 S 1St St
Lake Wales, FL 33853-4142

Mailing address

228 S 1St St
Lake Wales, FL 33853-4142

National Provider Directory

National Provider Directory

Locations

228 S 1st St
Lake Wales, FL 33853
Phone (305) 999-7458

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1114420809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S 1ST ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 1ST ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534142",
            "telephone_number": "305-999-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECU-TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "YAIKIMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-999-7458"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

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