Organization Active NPI

Senior Paradise Transportation

  • Non-emergency Medical Transport (VAN)
  • Port St Lucie, FL
National Provider Identifier
1215522107
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SENIOR PARADISE TRANSPORTATION
Practice address
3650 SW Viceroy St
Port St Lucie, FL 34953-3733
Phone
(772) 333-0654
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Peter Darcy Scott
Title
Driver
Phone
(772) 333-0654

Specialties & licenses 1

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

Addresses

Primary practice location

3650 SW Viceroy St
Port St Lucie, FL 34953-3733

Mailing address

757 SW Sarazen Ave
Port St Lucie, FL 34953-3762
Phone (954) 812-5105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1215522107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SW SARAZEN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533762",
            "telephone_number": "954-812-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SW VICEROY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533733",
            "telephone_number": "772-333-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PARADISE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DARCY",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "772-333-0654"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.