Organization Active NPI

Heavenly Ambulette Corp

  • Non-emergency Medical Transport (VAN)
  • West Haverstraw, NY
National Provider Identifier
1164745477
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
157307334 Issued in NY
Legal business name
HEAVENLY AMBULETTE CORP
Practice address
93 Kennedy Dr
West Haverstraw, NY 10993-1023
Phone
(845) 821-5769
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dachy Meleck Ocvil
Title
President
Phone
(845) 821-5769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 157307334 NY Primary

Addresses

Primary practice location

93 Kennedy Dr
West Haverstraw, NY 10993-1023

Mailing address

93 Kennedy Dr
West Haverstraw, NY 10993-1023
Phone (845) 821-5769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1164745477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 KENNEDY DR",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931023",
            "telephone_number": "845-821-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 KENNEDY DR",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931023",
            "telephone_number": "845-821-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY AMBULETTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "OCVIL",
        "authorized_official_first_name": "DACHY",
        "authorized_official_middle_name": "MELECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-821-5769"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "157307334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.