Organization Active NPI

Wedrive Car Service LLC

  • Non-emergency Medical Transport (VAN)
  • Woodbridge, CT
National Provider Identifier
1578092680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WEDRIVE CAR SERVICE LLC
Practice address
30 Hazel Ter Ste 22
Woodbridge, CT 06525-2240
Phone
(203) 387-6763
Fax
(203) 387-6765
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jonita Vaughn
Title
Owner
Phone
(203) 999-7065

Specialties & licenses 1

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

Addresses

Primary practice location

30 Hazel Ter Ste 22
Woodbridge, CT 06525-2240

Mailing address

30 Hazel Ter Ste 22
Woodbridge, CT 06525-2240
Phone (203) 387-6763

Other practice location 1

30 Hazel Terrace
Suite 22
Woodbridge, CT 06525
Phone (203) 387-6763

Other practice location 2

30 Hazel Ter Ste 22
Woodbridge, CT 06525-2240
Phone (203) 387-6763

National Provider Directory

National Provider Directory

Locations

30 Hazel Ter
Ste 22
Woodbridge, CT 06525
Phone (203) 387-6763

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578092680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER STE 22",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-387-6763",
            "fax_number": "203-387-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER STE 22",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-387-6763",
            "fax_number": "203-387-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hazel Terrace",
            "address_2": "Suite 22",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "06525",
            "country_code": "US",
            "telephone_number": "203-387-6763",
            "fax_number": "203-387-6765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Hazel Ter Ste 22",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252240",
            "country_code": "US",
            "telephone_number": "203-387-6763",
            "fax_number": "203-387-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEDRIVE CAR SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JONITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-999-7065"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.