Personal Care Ambulance Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0849 Issued in IN

Legal business name

PERSONAL CARE AMBULANCE TRANSPORT, LLC

Practice address

216 Corwin LN
Kokomo, IN 46902-6612

Phone

(765) 453-6307

Fax

(765) 453-6382

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Coley R. Bevington

Title

Administrator

Phone

(765) 453-6307

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PCAT Other name

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1245214378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612",
            "telephone_number": "765-453-6307",
            "fax_number": "765-453-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612",
            "telephone_number": "765-453-6307",
            "fax_number": "765-453-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE AMBULANCE TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "BEVINGTON",
        "authorized_official_first_name": "COLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-453-6307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0849",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "0849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491400A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000340627",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emma Lynn Perez
• Perio Plastic & Implantology Center of Kokomo
• Charlotte J Perkins
• Debra Kay Perkins, N.P.
• Alisha A. Perryman, FNP-C
• Gabrielle Ann Peterman, NP
• Jennifer L Peters, PTA
• Christian Peterson
• Pfeifer Internal Medicine, PC
• Diane M Pfeifer, MD

• Land Ambulance in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.