Organization Active NPI

KRK Transportation Group LLC

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1194186809
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
343900000X Issued in PA
Legal business name
KRK TRANSPORTATION GROUP LLC
Practice address
2200 Castor Ave
Philadelphia, PA 19134-2703
Phone
(267) 602-7715
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Mr. Mitchell Ricardo Epps
Title
Manager
Phone
(267) 602-7715

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Castor Ave
Philadelphia, PA 19134-2703

Mailing address

1828 Bainbridge St
Philadelphia, PA 19146-1807
Phone (267) 602-7715

National Provider Directory

National Provider Directory

Locations

2200 Castor Ave
Philadelphia, PA 19134
Phone (267) 602-7715

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1194186809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461807",
            "telephone_number": "267-602-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342703",
            "telephone_number": "267-602-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRK TRANSPORTATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-602-7715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.