Organization Active NPI

Legacy 1115 Transportation L.L.C

  • Non-emergency Medical Transport (VAN)
  • Bowie, MD
National Provider Identifier
1417897331
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LEGACY 1115 TRANSPORTATION L.L.C
Practice address
690 Fairmont Dr Apt 213
Bowie, MD 20716-3761
Phone
(240) 904-3414
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Jamar Robinson
Title
Authorized Official
Phone
(240) 904-3414

Specialties & licenses 1

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

Addresses

Primary practice location

690 Fairmont Dr Apt 213
Bowie, MD 20716-3761

Mailing address

690 Fairmont Dr Apt 213
Bowie, MD 20716-3761
Phone (240) 904-3414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1417897331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 FAIRMONT DR APT 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163761",
            "telephone_number": "240-904-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 FAIRMONT DR APT 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163761",
            "telephone_number": "240-904-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY 1115 TRANSPORTATION L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JAMAR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "240-904-3414"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.