Organization Active NPI

West TN Auto Care Inc.

  • Non-emergency Medical Transport (VAN)
  • Jackson, TN
National Provider Identifier
1497574297
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WEST TN AUTO CARE INC.
Practice address
663 Old Denmark Rd
Jackson, TN 38301-9146
Phone
(615) 506-9028
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Esam Elrayah IbrahimNPI 1316322159
Title
Owner Ceo
Phone
(615) 506-9028

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 Primary

Addresses

Primary practice location

663 Old Denmark Rd
Jackson, TN 38301-9146

Mailing address

663 Old Denmark Rd
Jackson, TN 38301-9146
Phone (615) 506-9028

National Provider Directory

National Provider Directory

Locations

663 Old Denmark Rd
Jackson, TN 38301
Phone (615) 506-9028

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": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1497574297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 OLD DENMARK RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383019146",
            "telephone_number": "615-506-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 OLD DENMARK RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383019146",
            "telephone_number": "615-506-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TN AUTO CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ESAM",
        "authorized_official_middle_name": "ELRAYAH",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "615-506-9028"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.