Clinica Imperial, LLC

Primary specialty

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

Legal business name

CLINICA IMPERIAL, LLC

Doing business as

Caregistics

Practice address

6413 Hackney Cir
North Chesterfield, VA 23234-4573

Phone

(804) 833-2900

NPI assigned

Jun 27, 2015

Organization subpart

No

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

Authorized official

Name

William SimonNPI 1972985802

Title

Owner

Phone

(804) 833-2900

Specialties & licenses 2

Addresses

Other names 1

• Caregistics Doing business as

Locations

Practitioners 1

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

• William Simon, M.A.

  • Non-emergency Medical Transport (VAN)
  • North Chesterfield, VA
  • NPI 1972985802
  NPD Authorized official

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1235511163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9453 AMBERDALE DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361249",
            "telephone_number": "804-447-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 HACKNEY CIR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344573",
            "telephone_number": "804-833-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA IMPERIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-833-2900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caregistics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caregistics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.