Organization Active NPI

Xtreme Enterprises Inc.

  • Non-emergency Medical Transport (VAN)
  • Miramar Beach, FL
National Provider Identifier
1659082329
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
XTREME ENTERPRISES INC.
Practice address
63 Vantage PT
Miramar Beach, FL 32550-4864
Phone
(850) 502-3716
NPI assigned
Dec 13, 2022
Organization subpart
Yes
Parent organization
XTREME ENTERPRISES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Andrea Hutchinson
Title
Ceo
Phone
(913) 547-2929

Specialties & licenses 1

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

Addresses

Primary practice location

63 Vantage PT
Miramar Beach, FL 32550-4864

Mailing address

748 Delaware St
Leavenworth, KS 66048-2460
Phone (913) 651-9274

Other names 1

  • Xtreme Clean Car Wash & Detail Center Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address xtremeclean93@outlook.com Direct
Direct Messaging Address xtremeclean93@outlook.com

National Provider Directory

National Provider Directory
Part of
Xtreme Enterprises Inc

Locations

748 Delaware St
Leavenworth, KS 66048

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1659082329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 DELAWARE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482460",
            "telephone_number": "913-651-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 VANTAGE PT",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504864",
            "telephone_number": "850-502-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME ENTERPRISES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XTREME ENTERPRISES INC.",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-547-2929"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xtremeclean93@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "748 Delaware St",
            "city": "Leavenworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660482460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xtremeclean93@outlook.com",
            "affiliation": "N",
            "address_1": "63 Vantage Pt",
            "city": "Miramar Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325504864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Xtreme Clean Car Wash & Detail Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miramar Beach, FL

Sources for this page

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

Verify at the official NPI Registry.