NPIMap

Organization Active NPI

Your Angel Medical Transportation,LLC

  • Non-emergency Medical Transport (VAN)
  • Port Charlotte, FL
National Provider Identifier
1477108363
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
YOUR ANGEL MEDICAL TRANSPORTATION,LLC
Doing business as
Your Angel Medical Transportation,LLC
Practice address
1114 Dewhurst St
Port Charlotte, FL 33952-1557
Phone
(941) 258-2189
Fax
(941) 889-7089
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Galina VosNPI 1174088876
Title
Owner
Phone
(941) 258-2189

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
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

1114 Dewhurst St
Port Charlotte, FL 33952-1557

Mailing address

1114 Dewhurst St
Port Charlotte, FL 33952-1557
Phone (941) 258-2189

Other identifiers 1

IdentifierTypeStateIssuer
1174088876MedicaidFL

Other names 1

  • Your Angel Medical Transportation,LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address galina@yourangelmedicaltransportation.net

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1477108363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 DEWHURST ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521557",
            "telephone_number": "941-258-2189",
            "fax_number": "941-889-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 DEWHURST ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521557",
            "telephone_number": "941-258-2189",
            "fax_number": "941-889-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ANGEL MEDICAL TRANSPORTATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "VOS",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-258-2189"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174088876",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "galina@yourangelmedicaltransportation.net",
            "affiliation": "N",
            "address_1": "1114 Dewhurst St",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339521557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Your Angel Medical Transportation,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

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