Executive Non-Emergency Transportation, Inc.

Primary specialty

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

License

885046905 Issued in FL

Legal business name

EXECUTIVE NON-EMERGENCY TRANSPORTATION, INC.

Practice address

3155-02 Suntree Blvd
Melbourne, FL 32940

Phone

(321) 752-0004

Fax

(321) 722-7315

NPI assigned

Jan 25, 2018

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Andrew RicardoNPI 1619406055

Title

Owner / Ceo

Phone

(321) 752-0004

Specialties & licenses 1

Addresses

Other names 1

• Enet, Inc. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Andrew Ricardo

  • Non-emergency Medical Transport (VAN)
  • Melbourne, FL
  • NPI 1619406055
  Authorized official Same address or phone

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1356849251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155-02 SUNTREE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-752-0004",
            "fax_number": "321-722-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155-02 SUNTREE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-752-0004",
            "fax_number": "321-722-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE NON-EMERGENCY TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "321-752-0004"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "885046905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enet, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Melbourne, FL
• Providers in Melbourne, 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 Jan 25, 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.