Organization Active NPI

Prosperity Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
National Provider Identifier
1689050940
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PROSPERITY TRANSPORTATION, LLC
Practice address
2336 Meverett CV
Cordova, TN 38016-2341
Phone
(901) 258-9815
NPI assigned
Aug 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Authorized official

Name
Mr. Mario Wooden Sr.NPI 1306222674
Title
Ceo/Founder
Phone
(901) 258-9815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2336 Meverett CV
Cordova, TN 38016-2341

Mailing address

2336 Meverett CV
Cordova, TN 38016-2341
Phone (901) 258-9815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1689050940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 MEVERETT CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162341",
            "telephone_number": "901-258-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 MEVERETT CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162341",
            "telephone_number": "901-258-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "901-258-9815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.