Professional and Convenient Non Emergency Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

428071 Issued in IN

Legal business name

PROFESSIONAL AND CONVENIENT NON EMERGENCY TRANSPORTATION

Practice address

3604 Cortland Dr
Elkhart, IN 46514-4494

Phone

(574) 849-2746

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vernard Malone Sr.

Title

Owner

Phone

(574) 849-2746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1588056444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CORTLAND DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CORTLAND DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144494",
            "telephone_number": "574-849-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AND CONVENIENT NON EMERGENCY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "VERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-849-2746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "428071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC (Elkhart Family Physicians)
• Nichole Renee Proctor, COTA
• Professional Practice Resources, Inc.
• Psychological & Family Consultants
• Psychological & Family Consultants, Inc
• Austin Wade Pulliam, M.D.
• Sheryl D. Purcell, RD,CD

• Non-emergency Medical Transport (VAN) in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.