Organization Active NPI

CB Moreno

  • Non-emergency Medical Transport (VAN)
  • Port Charlotte, FL
National Provider Identifier
1295597383
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CB MORENO
Practice address
2765 Tamiami TRL Ste E
Port Charlotte, FL 33952-5163
Phone
(941) 625-0117
Fax
(941) 625-3116
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Charles Moreno
Title
Owner
Phone
(941) 625-0117

Specialties & licenses 1

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

Addresses

Primary practice location

2765 Tamiami TRL Ste E
Port Charlotte, FL 33952-5163

Mailing address

18198 Summerdown Ave
Port Charlotte, FL 33948-1921
Phone (941) 625-0117

Other names 1

  • Ameditrans Doing business as

National Provider Directory

National Provider Directory

Locations

2765 Tamiami Trl
Ste E
Pt Charlotte, FL 33952
Phone (941) 625-0117

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1295597383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18198 SUMMERDOWN AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481921",
            "telephone_number": "941-625-0117",
            "fax_number": "941-625-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 TAMIAMI TRL STE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525163",
            "telephone_number": "941-625-0117",
            "fax_number": "941-625-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB MORENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-0117"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameditrans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.