Vjcaretransportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

VJCARETRANSPORTATION

Practice address

15430 County Road 565a # Mailboxv
Groveland, FL 34736-8242

Phone

(954) 822-8212

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Victor Russo Sr.NPI 1174091714

Title

Technical Manager and Information

Phone

(954) 822-8212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• vjcare Former legal business name
• vjcaretransportation Other name

Locations

Practitioners 1

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

• Victor Russo

  • Driver
  • Groveland, FL
  • NPI 1174091714
  NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1346719937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 COUNTY ROAD 565A # MAILBOXV",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368242",
            "telephone_number": "954-822-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 COUNTY ROAD 565A # MAILBOXV",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368242",
            "telephone_number": "954-822-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VJCARETRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "TECHNICAL MANAGER AND INFORMATION",
        "authorized_official_telephone_number": "954-822-8212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836545582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vjcare",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "vjcaretransportation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• True Life Counseling., Inc
• Truecare Medical Associates PLLC
• Verdant Health
• Lymarie M. Vilella, ARNP
• Elizabeth Villanueva, RN
• Walgreen Co
• Ebony Omara Walker-Newberry
• Telisha Maybelle Walker
• Tiffany Lashay Ware
• Courtney Nichole Watkins

• Non-emergency Medical Transport (VAN) in Groveland, FL
• Providers in Groveland, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.