Active NPI
Legacy Trans LLC
- Non-emergency Medical Transport (VAN)
- Phoenix, AZ
National Provider Identifier
1326736141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- LEGACY TRANS LLC
- Practice address
- 210 S 24TH St
Phoenix, AZ 85034-2539 - Phone
- (602) 300-0619
- NPI assigned
- Apr 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ehab Nasir
- Title
- Ceo/Owner
- Phone
- (602) 300-0619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
210 S 24TH St
Phoenix, AZ 85034-2539
Mailing address
607 N Tamarisk St
Chandler, AZ 85224-3414
Phone (602) 300-0619
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1326736141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 N TAMARISK ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243414",
"telephone_number": "602-300-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S 24TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342539",
"telephone_number": "602-300-0619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY TRANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "NASIR",
"authorized_official_first_name": "EHAB",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "602-300-0619"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.