Classy Caddy, LLC

Primary specialty

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

Legal business name

CLASSY CADDY, LLC

Practice address

22 E Wilt Ave
Eustis, FL 32726-2936

Phone

(352) 589-5113

Fax

(352) 589-7320

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Nicki R LeeNPI 1669960852

Title

Owner

Phone

(352) 455-4084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicki Rogers Lee

  • Non-emergency Medical Transport (VAN)
  • Eustis, FL
  • NPI 1669960852
  NPD (past) Authorized official

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1619465085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E WILT AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262936",
            "telephone_number": "352-589-5113",
            "fax_number": "352-589-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E WILT AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262936",
            "telephone_number": "352-589-5113",
            "fax_number": "352-589-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSY CADDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-455-4084",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladimir Chery, MD
• Childrens Therapy Place
• Kendall Aurelia Childs
• Akhlaqus Chowdhury
• Emily A Christman
• Carol Clendinen, LMHC, CAP, RN
• Jennifer June Cline, FNP
• Theresa Cockcroft, CAREGIVER
• Maria J Cofrancesco, DNP, GNP, CNS
• Corrine Sabrina Collier

• Non-emergency Medical Transport (VAN) in Eustis, FL
• Providers in Eustis, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.