Little Angel Medical Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LITTLE ANGEL MEDICAL TRANSPORTATION LLC

Practice address

7 Shadbush Way
West Henrietta, NY 14586-9432

Phone

(585) 444-0065

Fax

(585) 444-0126

NPI assigned

Oct 18, 2019

Organization subpart

No

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

Authorized official

Name

Govinda Gurung

Title

Ceo (President)/Owner

Phone

(904) 444-5279

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1144863564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHADBUSH WAY",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869432",
            "telephone_number": "585-444-0065",
            "fax_number": "585-444-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHADBUSH WAY",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869432",
            "telephone_number": "585-444-0065",
            "fax_number": "585-444-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGEL MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "GURUNG",
        "authorized_official_first_name": "GOVINDA",
        "authorized_official_title_or_position": "CEO (PRESIDENT)/OWNER",
        "authorized_official_telephone_number": "904-444-5279"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05566101",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "service@littleangelmedtrans.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Shadbush Way",
            "city": "West Henrietta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145869432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candice Laboy, RN
• Patrick Lagueras
• Clytha Lawanza Lane
• Tracy S Latturner, COTA
• Thomas Gene Lightfoot, M.D.
• Kaitlyn Lockemeyer, LPN
• Alie Junior Marah, LPN
• Lima Marah, LPN
• Cherice Janine McCullougj, LPN
• Heather McPherson, OTR/L

• Non-emergency Medical Transport (VAN) in West Henrietta, NY
• Providers in West Henrietta, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.