Organization Active NPI

E.L.L D Transport LC

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1265111074
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
E.L.L D TRANSPORT LC
Practice address
9535 Forest LN Ste 119
Dallas, TX 75243-6120
Phone
(469) 518-3009
NPI assigned
Jul 18, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Levern Daniels Jr.
Title
Ceo
Phone
(469) 518-3009

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X NU
Ambulatory Fertility Facility 261QA0006X NU
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X NU
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center 261QM1103X NU
Ambulance 341600000X NU
Secured Medical Transport (VAN) 343800000X NU
Non-emergency Medical Transport (VAN) 343900000X NU Primary
Bus 347B00000X NU
Private Vehicle 347C00000X NU
Transportation Broker 347E00000X NU
Transportation Network Company 342000000X NU

Addresses

Primary practice location

9535 Forest LN Ste 119
Dallas, TX 75243-6120

Mailing address

9535 Forest LN Ste 119
Dallas, TX 75243-6120
Phone (469) 518-3009

Other names 1

  • E.L.L D TRANSPORT Former legal business name

National Provider Directory

National Provider Directory

Locations

9535 Forest Ln
Ste 119
Dallas, TX 75243
Phone (469) 518-3009

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1265111074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN STE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436120",
            "telephone_number": "469-518-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN STE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436120",
            "telephone_number": "469-518-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.L.L D TRANSPORT LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "LEVERN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-518-3009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1103X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.L.L D TRANSPORT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "E.L.L D TRANSPORT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.