Organization Active NPI

Live Line Transportation LLC

  • Driver
  • Mableton, GA
National Provider Identifier
1366963035
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
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

Updated by the provider on Aug 24, 2017

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)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.