Active NPI
E.L.L D Transport LC
- Non-emergency Medical Transport (VAN)
- Dallas, TX
National Provider Identifier
1265111074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.