Organization Active NPI

DJ'S Non-Emergency Transportation,LLC

  • Vehicle Modifications Contractor
  • Memphis, TN
National Provider Identifier
1417526302
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Legal business name
DJ'S NON-EMERGENCY TRANSPORTATION,LLC
Practice address
3476 Agape Rd
Memphis, TN 38128-5210
Phone
(901) 421-9010
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Deangelo FairleyNPI 1922677376
Title
Owner
Phone
(901) 421-9010

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
Vehicle Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WV0202X Primary

Addresses

Primary practice location

3476 Agape Rd
Memphis, TN 38128-5210

Mailing address

3476 Agape Rd
Memphis, TN 38128-5210
Phone (901) 421-9010

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": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1417526302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 AGAPE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285210",
            "telephone_number": "901-421-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 AGAPE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285210",
            "telephone_number": "901-421-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ'S NON-EMERGENCY TRANSPORTATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "DEANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-421-9010"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.