Elite Senior Transportation LLC

Primary specialty

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

Legal business name

ELITE SENIOR TRANSPORTATION LLC

Practice address

3994 Villa Lake Rd
Powder Springs, GA 30127-5051

Phone

(850) 688-6761

NPI assigned

Jan 7, 2021

Last updated

Feb 1, 2021By 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

Jasmin Booker

Title

Director of Operations

Phone

(678) 469-9526

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1619565389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 VILLA LAKE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275051",
            "telephone_number": "850-688-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 VILLA LAKE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275051",
            "telephone_number": "850-688-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SENIOR TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "678-469-9526"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mailing",
            "affiliation": "N",
            "endpointDescription": "Mailing",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3994 Villa Lake Rd",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301275051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.