Travel Paradise Vacations

Primary specialty

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

License

062770743 Issued in CO

Legal business name

TRAVEL PARADISE VACATIONS

Practice address

1459 Wild Blossom Way
Castle Rock, CO 80104-7635

Phone

(225) 333-9220

Fax

(303) 997-9810

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Lequesor Lynette Davis, PASTORNPI 1225546443

Title

Chief Exective Director/ Manager

Phone

(225) 270-5055

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Travel Paradise Vacations2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Travel Paradise Vacations

  • Transportation Broker
  • Castle Rock, CO
  • NPI 1982235057
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Travel Paradise Vacations

  • Transportation Broker
  • Castle Rock, CO
  • NPI 1982235057
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lequesor Lynette Davis

  • Non-emergency Medical Transport (VAN)
  • Castle Rock, CO
  • NPI 1225546443
  NPD Authorized official
• Donald Lee Davis

  • Taxi
  • Castle Rock, CO
  • NPI 1629613310
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1215430210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 WILD BLOSSOM WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047635",
            "telephone_number": "225-333-9220",
            "fax_number": "303-997-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 WILD BLOSSOM WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047635",
            "telephone_number": "225-333-9220",
            "fax_number": "303-997-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL PARADISE VACATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LEQUESOR",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CHIEF EXECTIVE DIRECTOR/ MANAGER",
        "authorized_official_telephone_number": "225-270-5055",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "062770743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G240420",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Keyes Townsend, D.D.S.
• Mahkameh Ghadimi Tracy, MD
• Angela T Tran, D.O.
• Bethanie Lan Ngoc Tran, PHARM.D
• Lyn Tran
• Travel Paradise Vacations
• Paula Michele Travis, OTR/L
• Tree of Life Psychiatry
• Stacey Ann Trelford, DPT
• Tri-County Health Department

• Non-emergency Medical Transport (VAN) in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.