Organization Active NPI

Angelic Transport Service, LLC

  • Non-emergency Medical Transport (VAN)
  • Conway, SC
National Provider Identifier
1366014045
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGELIC TRANSPORT SERVICE, LLC
Practice address
1804 Gemini Cir
Conway, SC 29527-4035
Phone
(843) 698-3416
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Rosheema Daisey
Title
Owner/Manager
Phone
(843) 698-3416

Specialties & licenses 1

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

Addresses

Primary practice location

1804 Gemini Cir
Conway, SC 29527-4035

Mailing address

1227 16TH Ave # 333
Conway, SC 29526-3483
Phone (843) 698-3416

National Provider Directory

National Provider Directory

Locations

1227 16th Ave
#333
Conway, SC 29526

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1366014045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 16TH AVE # 333",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263483",
            "telephone_number": "843-698-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 GEMINI CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274035",
            "telephone_number": "843-698-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC TRANSPORT SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "DAISEY",
        "authorized_official_first_name": "ROSHEEMA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "843-698-3416"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.