Organization Active NPI

Fanta Villa LLC

  • Non-emergency Medical Transport (VAN)
  • Clearwater, FL
National Provider Identifier
1114674686
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FANTA VILLA LLC
Practice address
19135 US Highway 19 N # 1234
Clearwater, FL 33764-3201
Phone
(727) 386-8225
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Francess BarchueNPI 1790438455
Title
Owner
Phone
(727) 815-5499

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

19135 US Highway 19 N # 1234
Clearwater, FL 33764-3201

Mailing address

30190 US Highway 19 N # 1234
Clearwater, FL 33761-1044
Phone (727) 386-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fantavilla27@gmail.com

National Provider Directory

National Provider Directory

Locations

30190 US Highway 19 N
#1234
Clearwater, FL 33761

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1114674686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30190 US HIGHWAY 19 N # 1234",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611044",
            "telephone_number": "727-386-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19135 US HIGHWAY 19 N # 1234",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643201",
            "telephone_number": "727-386-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTA VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BARCHUE",
        "authorized_official_first_name": "FRANCESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-815-5499"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fantavilla27@gmail.com",
            "affiliation": "N",
            "address_1": "19135 US Highway 19 N Apt B26",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337643200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.