Organization Active NPI

Kintuadi Company LLC

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1407583693
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
KINTUADI COMPANY LLC
Practice address
624 E Baltimore Ave
Fort Worth, TX 76104-5018
Phone
(682) 341-1049
NPI assigned
Aug 6, 2022
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Josue Mukuna
Title
Owner
Phone
(682) 341-1049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

624 E Baltimore Ave
Fort Worth, TX 76104-5018

Mailing address

624 E Baltimore Ave
Fort Worth, TX 76104-5018
Phone (682) 341-1049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1407583693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E BALTIMORE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045018",
            "telephone_number": "682-341-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E BALTIMORE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045018",
            "telephone_number": "682-341-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTUADI COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "MUKUNA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-341-1049"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.