Daisy Shaw Nonemergency Transportation

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

DAISY SHAW NONEMERGENCY TRANSPORTATION

Practice address

11209 Ryliecrest Dr Apt 333
Balch Springs, TX 75180-3740

Phone

(817) 719-7580

NPI assigned

Jan 22, 2024

Last updated

Jan 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

Shameeka S HenryNPI 1255936167

Title

Chief Executive Officer

Phone

(817) 719-7580

Specialties & licenses 2

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.

• Shameeka S Henry, CHW

  • Nurse's Aide
  • Fort Worth, TX
  • NPI 1255936167
  Authorized official Same address or phone

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1184485716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121775",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760127775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 RYLIECREST DR APT 333",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751803740",
            "telephone_number": "817-719-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY SHAW NONEMERGENCY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHAMEEKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-719-7580"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Balch Springs, TX
• Providers in Balch Springs, TX by specialty
• Private Vehicle in Texas

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