Active NPI
Faryk Transport LLC
- Non-emergency Medical Transport (VAN)
- Jacksonville, FL
National Provider Identifier
1336094994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- FARYK TRANSPORT LLC
- Practice address
- 1171 Lane Ave S Apt 1102
Jacksonville, FL 32205-6286 - Phone
- (912) 734-6691
- NPI assigned
- Feb 27, 2026
- 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
- Mr. Fikadu Legesse Kumssa, N/A
- Title
- Managing Member
- Phone
- (912) 734-6691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1171 Lane Ave S Apt 1102
Jacksonville, FL 32205-6286
Mailing address
1171 Lane Ave S Apt 1102
Jacksonville, FL 32205-6286
Phone (912) 734-6691
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1336094994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 LANE AVE S APT 1102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056286",
"telephone_number": "912-734-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 LANE AVE S APT 1102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056286",
"telephone_number": "912-734-6691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARYK TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "KUMSSA",
"authorized_official_first_name": "FIKADU",
"authorized_official_middle_name": "LEGESSE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "912-734-6691",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N/A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.