Active NPI
Live Line Transportation LLC
- Driver
- Mableton, GA
National Provider Identifier
1366963035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Legal business name
- LIVE LINE TRANSPORTATION LLC
- Doing business as
- Non-Emergency Medical Transportation
- Practice address
- 6755 Gordon Manor CT SW
Mableton, GA 30126-3012 - Phone
- (770) 627-3947
- Fax
- (770) 627-3947
- NPI assigned
- Jul 3, 2017
- 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
- Phelomina A Grhas
- Title
- Co-Owner
- Phone
- (770) 627-3847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
6755 Gordon Manor CT SW
Mableton, GA 30126-3012
Mailing address
6755 Gordon Manor CT SW
Mableton, GA 30126-5327
Phone (770) 627-3947
Other names 1
- Non-Emergency Medical Transportation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503532800000",
"number": "1366963035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6755 GORDON MANOR CT SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265327",
"telephone_number": "770-627-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6755 GORDON MANOR CT SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263012",
"telephone_number": "770-627-3947",
"fax_number": "770-627-3947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE LINE TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-03",
"last_updated": "2017-08-24",
"status": "A",
"authorized_official_last_name": "GRHAS",
"authorized_official_first_name": "PHELOMINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "770-627-3847"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Non-Emergency Medical Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.