Organization Active NPI

Legacy's Angel Transportation

  • Secured Medical Transport (VAN)
  • Irving, TX
National Provider Identifier
1528840030
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
LEGACY'S ANGEL TRANSPORTATION
Practice address
4225 Wingren Dr Ste 110
Irving, TX 75062-2762
Phone
(469) 688-1952
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mr. Anthony WardsworthNPI 1245012905
Title
Ceo
Phone
(469) 688-1952

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
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

4225 Wingren Dr Ste 110
Irving, TX 75062-2762

Mailing address

4225 Wingren Dr Ste 110
Irving, TX 75062-2762
Phone (469) 688-1952

National Provider Directory

National Provider Directory

Locations

4225 Wingren Dr
Ste 110
Irving, TX 75062
Phone (469) 688-1952

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1528840030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 WINGREN DR STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622762",
            "telephone_number": "469-688-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 WINGREN DR STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622762",
            "telephone_number": "469-688-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY'S ANGEL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "WARDSWORTH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-688-1952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.