Active NPI
Deacon Care Transport LLC
- Non-emergency Medical Transport (VAN)
- Charlotte, NC
National Provider Identifier
1649000373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- DEACON CARE TRANSPORT LLC
- Practice address
- 13505 Misty Dew CT
Charlotte, NC 28273-4717 - Phone
- (425) 213-0074
- NPI assigned
- Aug 6, 2024
- Last updated
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mina Mina Farag
- Title
- Owner
- Phone
- (425) 213-0074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
13505 Misty Dew CT
Charlotte, NC 28273-4717
Mailing address
5520 Keltonwood Rd Apt 3204
Charlotte, NC 28278-7032
Phone (425) 213-0074
Other names 1
- Compass Rides LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1649000373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 KELTONWOOD RD APT 3204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787032",
"telephone_number": "425-213-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13505 MISTY DEW CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734717",
"telephone_number": "425-213-0074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEACON CARE TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "MINA FARAG",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-213-0074",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compass Rides LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.