Organization Active NPI

Roses Faith Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
National Provider Identifier
1356125637
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ROSES FAITH MEDICAL TRANSPORTATION
Practice address
4395 Fulton Industrial Blvd Suite D Pmb1527
Suite D Pmb1527
Atlanta, GA 30336
Phone
(503) 820-8126
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Rose Ervin Wiley
Title
Owner
Phone
(503) 820-8126

Specialties & licenses 1

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

Addresses

Primary practice location

4395 Fulton Industrial Blvd Suite D Pmb1527
Suite D Pmb1527
Atlanta, GA 30336

Mailing address

4395 Fulton Industrial Blvd Suite D PMB 1527
Atlanta, GA 30336
Phone (503) 820-8126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1356125637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 FULTON INDUSTRIAL BLVD SUITE D PMB 1527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30336",
            "telephone_number": "503-820-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 FULTON INDUSTRIAL BLVD SUITE D PMB1527",
            "address_2": "SUITE D PMB1527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30336",
            "telephone_number": "503-820-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSES FAITH MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ERVIN WILEY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-820-8126"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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

Verify at the official NPI Registry.