Community Support Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

COMMUNITY SUPPORT TRANSPORTATION, LLC

Practice address

3647 Abernathy Dr
Fayetteville, NC 28311-7659

Phone

(910) 476-8689

NPI assigned

Mar 8, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Del'Wayne Lucas

Title

President

Phone

(910) 476-8689

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1427516442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9268",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119083",
            "telephone_number": "910-476-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 ABERNATHY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117659",
            "telephone_number": "910-476-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEL'WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-476-8689"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Resource Solutions, LLC
• Community Transition Services, LLC
• Community-Based Developmental Services, Inc.
• Community-Based Developmental Services, Inc.
• Companions II of North Carolina
• Companions II of North Carolina

• Non-emergency Medical Transport (VAN) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.