Travcare LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TRAVCARE LLC

Practice address

1717 Holladay St
Portsmouth, VA 23704-2015

Phone

(757) 920-2765

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Latwan S Carpenter, DHS. QMHPA MATCNPI 1336928787

Title

Owner

Phone

(757) 920-2765

Specialties & licenses 1

Addresses

Other names 1

• TraVcare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Latwan Carpenter, DR. DHS QMHPA MATC

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, VA
  • NPI 1336928787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1407539745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HOLLADAY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042015",
            "telephone_number": "757-920-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HOLLADAY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042015",
            "telephone_number": "757-920-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LATWAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-920-2765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHS. QMHPA MATC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TraVcare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TraVcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.