Organization Active NPI

Life Line Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
National Provider Identifier
1295597425
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LIFE LINE TRANSPORT LLC
Practice address
8415 Woolrich Dr
Cordova, TN 38016-5196
Phone
(901) 219-9559
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Nneka Daniels, REGISTERED NURSENPI 1831950534
Title
Owner
Phone
(901) 219-9559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8415 Woolrich Dr
Cordova, TN 38016-5196

Mailing address

8415 Woolrich Dr
Cordova, TN 38016-5196
Phone (901) 219-9559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1295597425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 WOOLRICH DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165196",
            "telephone_number": "901-219-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 WOOLRICH DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165196",
            "telephone_number": "901-219-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-219-9559",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.