Imani Care Medical Transportation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

102863 Issued in NJ

Legal business name

IMANI CARE MEDICAL TRANSPORTATION

Practice address

34 Park Dr S
West Orange, NJ 07052-5713

Phone

(973) 518-9234

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devon A Frank, EMT-B

Title

Sole Owner

Phone

(973) 518-9234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1245762079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PARK DR S",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525713",
            "telephone_number": "973-518-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PARK DR S",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525713",
            "telephone_number": "973-518-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI CARE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "973-518-9234",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "102863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.