Active NPI
Shekinah Resource Foundation
- Non-emergency Medical Transport (VAN)
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 27780134
- Legal business name
- SHEKINAH RESOURCE FOUNDATION
- Practice address
- 301 S Oakland Ave
Ste 6444
Statesville, NC 28687-0837 - Phone
- (336) 747-3479
- NPI assigned
- Feb 11, 2016
- Last updated
- Feb 11, 2016
- 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
- Kevin A Smith
- Title
- President/Ceo
- Phone
- (336) 747-3479
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 27780134 | NC | Primary |
Addresses
Primary practice location
301 S Oakland Ave
Ste 6444
Statesville, NC 28687-0837
Mailing address
301 S Oakland Ave
Ste 6444
Statesville, NC 28687-0837
Phone (336) 747-3479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27780134 | Other | NC | NON EMERGENCY MEDICAL TRANSPORTATION |
National Provider Directory
National Provider Directory- Tax ID family
- Shekinah Resource Foundation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Winston Salem, NC
- NPI 1124488200
-
- Respite Care Camp
- Statesville, NC
- NPI 1396288585
Locations
301 S Oakland Ave
Unit 6444
Statesville, NC 28687
Phone (336) 747-3479
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Driver
- Winston Salem, NC
- NPI 1881052439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455148800000",
"number": "1154780724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S OAKLAND AVE",
"address_2": "STE 6444",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286870837",
"telephone_number": "336-747-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S OAKLAND AVE",
"address_2": "STE 6444",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286870837",
"telephone_number": "336-747-3479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEKINAH RESOURCE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "336-747-3479"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NC",
"license": "27780134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON EMERGENCY MEDICAL TRANSPORTATION",
"identifier": "27780134",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.