Organization Active NPI

Aging Hearts Transportation

  • Vehicle Modifications Contractor
  • Valley Stream, NY
National Provider Identifier
1396657839
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Legal business name
AGING HEARTS TRANSPORTATION
Practice address
1061 Martin PL
Valley Stream, NY 11580-1349
Phone
(917) 553-5774
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Terell Matthews
Title
Owner
Phone
(917) 553-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications Contractor 171WV0202X NU Primary

Addresses

Primary practice location

1061 Martin PL
Valley Stream, NY 11580-1349

Mailing address

1061 Martin PL
Valley Stream, NY 11580-1349
Phone (917) 553-5774

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1396657839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 MARTIN PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801349",
            "telephone_number": "917-553-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MARTIN PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801349",
            "telephone_number": "917-553-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING HEARTS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TERELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-553-5774"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.