Senior Independence Transportation

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

SENIOR INDEPENDENCE TRANSPORTATION

Practice address

250 N Trade St Ste 205
Matthews, NC 28105-9433

Phone

(908) 404-0851

NPI assigned

Jan 6, 2022

Last updated

Mar 2, 2022By 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

Annmarie S Smith

Title

Owner

Phone

(908) 404-0851

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1184385650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 205",
            "address_2": "PMB142",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "908-404-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 205",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059433",
            "telephone_number": "908-404-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR INDEPENDENCE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-404-0851"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "seniorindependencetransportation.services",
            "affiliation": "N",
            "address_1": "250 N Trade St Ste 205",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281059433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Private Vehicle in Matthews, NC
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• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.