Organization Active NPI

Providence Transportation Solutions, LLC

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1407246572
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7295151 Issued in NC
Legal business name
PROVIDENCE TRANSPORTATION SOLUTIONS, LLC
Practice address
421 Canyon TRL
Charlotte, NC 28270-5315
Phone
(704) 366-6835
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Tara Hartman-GudNPI 1982094058
Title
Ceo/Owner
Phone
(704) 366-6835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 7295151 NC Primary

Addresses

Primary practice location

421 Canyon TRL
Charlotte, NC 28270-5315

Mailing address

421 Canyon TRL
Charlotte, NC 28270-5315
Phone (704) 366-6835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1407246572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CANYON TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282705315",
            "telephone_number": "704-366-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CANYON TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282705315",
            "telephone_number": "704-366-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE TRANSPORTATION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "HARTMAN-GUD",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-366-6835"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "7295151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.