Organization Active NPI

Nice and Clean Medical Services

  • Non-emergency Medical Transport (VAN)
  • Lake City, FL
National Provider Identifier
1174027163
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NICE AND CLEAN MEDICAL SERVICES
Practice address
196 NW Proctor GLN
Lake City, FL 32055-7622
Phone
(850) 363-9306
Fax
(855) 326-8575
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Latasha T Graham
Title
Admin
Phone
(386) 754-8889

Specialties & licenses 1

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

Addresses

Primary practice location

196 NW Proctor GLN
Lake City, FL 32055-7622

Mailing address

196 NW Proctor GLN
Lake City, FL 32055-7622
Phone (850) 363-9306

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1174027163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 NW PROCTOR GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557622",
            "telephone_number": "850-363-9306",
            "fax_number": "855-326-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 NW PROCTOR GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557622",
            "telephone_number": "850-363-9306",
            "fax_number": "855-326-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICE AND CLEAN MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "386-754-8889"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.