Organization Active NPI

Executive 2000 Transportation, LLC

  • Taxi
  • Cromwell, CT
National Provider Identifier
1497260848
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
EXECUTIVE 2000 TRANSPORTATION, LLC
Practice address
11 Alcap RDG Ste D
Cromwell, CT 06416-1036
Phone
(860) 635-8555
Fax
(860) 632-5163
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Joyful Faith Selah
Title
Owner/Managing Member
Phone
(860) 635-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X Primary

Addresses

Primary practice location

11 Alcap RDG Ste D
Cromwell, CT 06416-1036

Mailing address

11 Alcap RDG Ste D
Cromwell, CT 06416-1036
Phone (860) 635-8555

National Provider Directory

National Provider Directory

Locations

11 Alcap Rdg
Ste D
Cromwell, CT 06416
Phone (860) 635-8555

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1497260848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ALCAP RDG STE D",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161036",
            "telephone_number": "860-635-8555",
            "fax_number": "860-632-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ALCAP RDG STE D",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161036",
            "telephone_number": "860-635-8555",
            "fax_number": "860-632-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE 2000 TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "SELAH",
        "authorized_official_first_name": "JOYFUL",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "860-635-8555"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.