Elite Mobility LLC

Primary specialty

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

Legal business name

ELITE MOBILITY LLC

Practice address

3068 Bluffhollow Gap
Antioch, TN 37013-4295

Phone

(615) 600-2445

NPI assigned

Jan 4, 2025

Organization subpart

No

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

Authorized official

Name

Yared Kumssa

Title

Manager

Phone

(615) 600-2445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1376352328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 BLUFFHOLLOW GAP",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 BLUFFHOLLOW GAP",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134295",
            "telephone_number": "615-600-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "KUMSSA",
        "authorized_official_first_name": "YARED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-600-2445"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Antioch, TN
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.