N a Wellness Transportation

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

N A WELLNESS TRANSPORTATION

Practice address

4405 Genesis CT
Mansfield, TX 76063-8667

Phone

(469) 803-8636

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Ebolum

Title

Owner/ Manager

Phone

(469) 803-8636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1215612486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 GENESIS CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638667",
            "telephone_number": "469-803-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 GENESIS CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638667",
            "telephone_number": "469-803-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N A WELLNESS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "EBOLUM",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "469-803-8636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.