Organization Active NPI

Tedlavip Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Raleigh, NC
National Provider Identifier
1265277388
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TEDLAVIP TRANSPORTATION LLC
Practice address
1424 Arapahoe Ridge Dr
Raleigh, NC 27604-9711
Phone
(984) 800-7318
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Mr. Sammy Kahsay Tedla
Title
Owner
Phone
(301) 326-6848

Specialties & licenses 1

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

Addresses

Primary practice location

1424 Arapahoe Ridge Dr
Raleigh, NC 27604-9711

Mailing address

1424 Arapahoe Ridge Dr
Raleigh, NC 27604-9711
Phone (984) 800-7318

Other names 1

  • TEDLAVIP TRANSPORTATION LLC Former legal business 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": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1265277388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 ARAPAHOE RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276049711",
            "telephone_number": "984-800-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 ARAPAHOE RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276049711",
            "telephone_number": "984-800-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDLAVIP TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "TEDLA",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "KAHSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-326-6848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEDLAVIP TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.