NPIMap

Organization Active NPI

King of Spades Trucking, LLC

  • Private Vehicle
  • Surprise, AZ
National Provider Identifier
1255041687
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
KING OF SPADES TRUCKING, LLC
Practice address
17720 W Maui LN
Surprise, AZ 85388-7553
Phone
(623) 203-7060
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Mrs. Yolanda Antionette McCullough
Title
Owner
Phone
(623) 203-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

17720 W Maui LN
Surprise, AZ 85388-7553

Mailing address

17720 W Maui LN
Surprise, AZ 85388-7553
Phone (623) 203-7060

Other names 1

  • King of Spades NEMT Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1255041687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17720 W MAUI LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887553",
            "telephone_number": "623-203-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 W MAUI LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887553",
            "telephone_number": "623-203-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF SPADES TRUCKING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-203-7060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King of Spades NEMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.