CTF Universal Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CTF UNIVERSAL MEDICAL TRANSPORT LLC

Doing business as

CTF Universal Medical Transport LLC

Practice address

136 Bradley Bay Rd
Lake City, SC 29560-7567

Phone

(803) 973-2235

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Antawaii FultonNPI 1124907670

Title

Owner

Phone

(803) 973-2235

Specialties & licenses 1

Addresses

Other names 1

• CTF Universal Medical Transport LLC Doing business as

Practitioners 1

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

• Antawaii Fulton

  • Home Health Aide
  • Newport News, VA
  • NPI 1124907670
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1285325308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BRADLEY BAY RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607567",
            "telephone_number": "803-973-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BRADLEY BAY RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607567",
            "telephone_number": "803-973-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTF UNIVERSAL MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ANTAWAII",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-973-2235"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTF Universal Medical Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willie Frank Cook Jr., EMT
• Myra Cooke
• Creations-Unlimited
• Norman G. Creighton, MS
• Kayla Bishop Cribb, PT, DPT, OMT-C
• Daniel E Decamps, M.D.
• Emily Dennis
• M L Denny, OD
• Wendy Renee Dicks, B.A.
• Shafara Dozier, PA-C

• Non-emergency Medical Transport (VAN) in Lake City, SC
• Providers in Lake City, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.