Organization Active NPI

Avodah Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Winston Salem, NC
National Provider Identifier
1255083028
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AVODAH TRANSPORTATION SERVICES
Practice address
1854 Lantana Dr
Winston Salem, NC 27127-7541
Phone
(160) 951-0721
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Racquell Ridgill, RNNPI 1124770342
Title
Owner
Phone
(609) 510-7216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1854 Lantana Dr
Winston Salem, NC 27127-7541

Mailing address

1854 Lantana Dr
Winston Salem, NC 27127-7541
Phone (160) 951-0721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1255083028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 LANTANA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277541",
            "telephone_number": "160-951-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 LANTANA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277541",
            "telephone_number": "160-951-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVODAH TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "RIDGILL",
        "authorized_official_first_name": "RACQUELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-510-7216",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.