Wings of Love of Leesburg Transport, LLC

Primary specialty

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

Legal business name

WINGS OF LOVE OF LEESBURG TRANSPORT, LLC

Practice address

1014 E North Blvd
Leesburg, FL 34748-5348

Phone

(352) 742-2000

Fax

(352) 360-0567

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Pernell Mitchell

Title

Owner

Phone

(352) 742-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1477246304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-742-2000",
            "fax_number": "352-360-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-742-2000",
            "fax_number": "352-360-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF LOVE OF LEESBURG TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PERNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-742-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Kareen Wilson
• Courtney Wilson
• Katrina Wilson
• Keia Wilson
• Wings of Love
• Wings of Love of Leesburg, LLC
• David Alan Wollenschlaeger, D.M.D.
• Alan Wong, D.O.
• Callie Jeannine Woodring, COTA/L
• Ashley R Worrell, PTA

• Non-emergency Medical Transport (VAN) in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.