Organization Active NPI

Esperanza Inc

  • Non-emergency Medical Transport (VAN)
  • Agawam, MA
National Provider Identifier
1528317534
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
S51794845 Issued in MA
Legal business name
ESPERANZA INC
Practice address
27 Grant St
Agawam, MA 01001-1314
Phone
(413) 276-0488
Fax
(413) 276-0486
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Richard D Bazukin
Title
President
Phone
(413) 276-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X S51794845 MA Primary

Addresses

Primary practice location

27 Grant St
Agawam, MA 01001-1314

Mailing address

27 Grant St
Agawam, MA 01001-1314
Phone (413) 276-0488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1528317534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GRANT ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011314",
            "telephone_number": "413-276-0488",
            "fax_number": "413-276-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRANT ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011314",
            "telephone_number": "413-276-0488",
            "fax_number": "413-276-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BAZUKIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-276-0488"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": "S51794845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.