NPIMap

Organization Active NPI

Angels Touch Elite Transportation

  • Non-emergency Medical Transport (VAN)
  • Live Oak, FL
National Provider Identifier
1164047650
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGELS TOUCH ELITE TRANSPORTATION
Practice address
100 Court St SE Ste 212
Live Oak, FL 32064-3203
Phone
(386) 209-7649
Fax
(386) 362-1163
NPI assigned
Jun 10, 2020
Organization subpart
Yes
Parent organization
ANGELS TOUCH COMPANION CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Mr. Elijah Henderson Jr.
Title
Cfo
Phone
(386) 292-9265

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

100 Court St SE Ste 212
Live Oak, FL 32064-3203

Mailing address

100 Court St SE Ste 212
Live Oak, FL 32064-3203
Phone (386) 209-7649

Other identifiers 1

IdentifierTypeStateIssuer
105724200MedicaidFL

National Provider Directory

National Provider Directory
Part of
Angels Touch Elite Transportation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1164047650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COURT ST SE STE 212",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643203",
            "telephone_number": "386-209-7649",
            "fax_number": "386-362-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COURT ST SE STE 212",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643203",
            "telephone_number": "386-209-7649",
            "fax_number": "386-362-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS TOUCH ELITE TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS TOUCH COMPANION CARE LLC",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "386-292-9265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105724200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.