Organization Active NPI

Vitalgo Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Holly Springs, NC
National Provider Identifier
1376393520
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VITALGO TRANSPORTATION LLC
Practice address
1116 Garrow Dr
Holly Springs, NC 27540-5804
Phone
(919) 449-7085
NPI assigned
Mar 22, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Kalkidan Assefa Kebede
Title
Manager
Phone
(919) 449-7085

Specialties & licenses 1

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

Addresses

Primary practice location

1116 Garrow Dr
Holly Springs, NC 27540-5804

Mailing address

PO Box 33213
Raleigh, NC 27636-3213
Phone (919) 449-7085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1376393520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276363213",
            "telephone_number": "919-449-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GARROW DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405804",
            "telephone_number": "919-449-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALGO TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "KEBEDE",
        "authorized_official_first_name": "KALKIDAN",
        "authorized_official_middle_name": "ASSEFA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-449-7085"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.