Organization Active NPI

Wellcare Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Reynoldsburg, OH
National Provider Identifier
1285439570
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WELLCARE MEDICAL TRANSPORTATION LLC
Practice address
7213 Linda Trce
Reynoldsburg, OH 43068-9411
Phone
(240) 705-0421
NPI assigned
Feb 19, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Gonfa Hordofa Guta
Title
General Partner
Phone
(240) 705-0421

Specialties & licenses 1

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

Addresses

Primary practice location

7213 Linda Trce
Reynoldsburg, OH 43068-9411

Mailing address

7213 Linda Trce
Reynoldsburg, OH 43068-9411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1285439570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 LINDA TRCE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 LINDA TRCE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689411",
            "telephone_number": "240-705-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "GUTA",
        "authorized_official_first_name": "GONFA",
        "authorized_official_middle_name": "HORDOFA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "240-705-0421"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.