1Fidelity Med-Way LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

1FIDELITY MED-WAY LLC

Practice address

12385 W Whyman Ave
Avondale, AZ 85323-1241

Phone

(661) 916-1901

NPI assigned

May 22, 2024

Last updated

May 22, 2024By 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

Perris Fidelis, RN

Title

Owner

Phone

(661) 916-1901

Specialties & licenses 1

Addresses

Other names 1

• Perris Tiara Marshall Other name

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1184463937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12385 W WHYMAN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231241",
            "telephone_number": "661-916-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 W WHYMAN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231241",
            "telephone_number": "661-916-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1FIDELITY MED-WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "FIDELIS",
        "authorized_official_first_name": "PERRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-916-1901",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perris Tiara Marshall",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 1-2-3 Breathe Free LLC
• 148 Logistics LLC
• 360 Homecare LLC
• 60002 Avondale Rehabilitation Center
• A & Y Non Emergency Med Trans
• A Astra Dentist, Inc.
• A Plus Dental

• Non-emergency Medical Transport (VAN) in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.