Superior Transportation Alliance

Primary specialty

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

Legal business name

SUPERIOR TRANSPORTATION ALLIANCE

Practice address

5004 Sam Rhyne CT
Dallas, NC 28034-6400

Phone

(704) 912-9561

NPI assigned

Oct 5, 2023

Organization subpart

Yes

Parent organization

AUDREY'S CARE AGENCYAs reported in NPPES

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

Authorized official

Name

Shanara Mintz

Title

Owner

Phone

(704) 912-9561

Specialties & licenses 5

Addresses

Part of

Audrey'S Care Agency

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1497535496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 SAM RHYNE CT",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280346400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 SAM RHYNE CT",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280346400",
            "telephone_number": "704-912-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR TRANSPORTATION ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDREY'S CARE AGENCY",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "SHANARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-912-9561"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dallas, NC
• 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 Oct 16, 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.