Affinity Transportation Service LLC

Primary specialty

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

Legal business name

AFFINITY TRANSPORTATION SERVICE LLC

Practice address

12236 Tavares Ridge LN
Tavares, FL 32778-4460

Phone

(352) 630-0297

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory WilliamsNPI 1164053534

Title

Owner

Phone

(352) 630-0297

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gregory Williams

  • In Home Supportive Care Agency
  • Tavares, FL
  • NPI 1164053534
  NPD Authorized official

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1154922946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-630-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-630-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-630-0297"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108279600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Sleep Centers LLC
• Adventhealth Waterman
• Adventist Health System/Sunbelt, Inc (AdventHealth Centra Care Tavares)
• Adventist Health System/Sunbelt, Inc (AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Tavares)
• Advocate Support Service Inc
• Affordable Primary Care, LLC
• Ilan Aharoni, M.D.
• Nastassia Aiken, CNM
• Airway Respiratory Solutions, LLC (Airway Oxygen & Medical Supply)
• Ajs Caring Heart Services LLC

• Non-emergency Medical Transport (VAN) in Tavares, FL
• Providers in Tavares, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.