Active NPI
Heavenly Kingdom Transport LLC
- Non-emergency Medical Transport (VAN)
- Chesapeake, VA
National Provider Identifier
1508538182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- HEAVENLY KINGDOM TRANSPORT LLC
- Practice address
- 1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218 - Phone
- (757) 514-9966
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine Harris
- Title
- Executive Director
- Phone
- (757) 514-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Mailing address
PO Box 205
Suffolk, VA 23439-0205
Phone (757) 514-9966
National Provider Directory
National Provider DirectoryLocations
1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1508538182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234390205",
"telephone_number": "757-514-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 CROSSWAYS BLVD STE 250",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200218",
"telephone_number": "757-514-9966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY KINGDOM TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-514-9966"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.