Organization Active NPI

Casa Grand Vip & Shuttle LLC

  • Non-emergency Medical Transport (VAN)
  • Casa Grande, AZ
National Provider Identifier
1497033146
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CASA GRAND VIP & SHUTTLE LLC
Practice address
292 W Settlers TRL
Casa Grande, AZ 85122-8277
Phone
(520) 421-9600
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Mrs. Enedina Renteria
Title
Sole MBR
Phone
(520) 421-9600

Specialties & licenses 1

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

Addresses

Primary practice location

292 W Settlers TRL
Casa Grande, AZ 85122-8277

Mailing address

PO Box 12588
Casa Grande, AZ 85130-0657
Phone (520) 421-9600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1497033146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12588",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300657",
            "telephone_number": "520-421-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 W SETTLERS TRL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851228277",
            "telephone_number": "520-421-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRAND VIP & SHUTTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "RENTERIA",
        "authorized_official_first_name": "ENEDINA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "520-421-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.