Splendid Transcare LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

SPLENDID TRANSCARE LLC

Practice address

1841 Greenfield Ave
Fort Worth, TX 76102-1516

Phone

(817) 655-5673

NPI assigned

Apr 29, 2018

Last updated

Apr 29, 2018By 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

Mr. Rene KongaNPI 1083116735

Title

Owner

Phone

(817) 655-5673

Specialties & licenses 1

Addresses

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.

• Rene Konga

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
  • NPI 1083116735
  NPD (past) Authorized official

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524960000000",
    "number": "1164910774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 GREENFIELD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761021516",
            "telephone_number": "817-655-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 GREENFIELD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761021516",
            "telephone_number": "817-655-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLENDID TRANSCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A",
        "authorized_official_last_name": "KONGA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-655-5673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Fort Worth, TX
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• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.