Organization Active NPI

Luxury 12 Mobile Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Saint Louis, MO
National Provider Identifier
1689358228
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LUXURY 12 MOBILE TRANSPORT LLC
Practice address
6424 Mount Ave
Saint Louis, MO 63121-5717
Phone
(314) 359-2408
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Keyonna Belk
Title
Ceo
Phone
(314) 359-2408

Specialties & licenses 1

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

Addresses

Primary practice location

6424 Mount Ave
Saint Louis, MO 63121-5717

Mailing address

6424 Mount Ave
Saint Louis, MO 63121-5717
Phone (314) 359-2408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1689358228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 MOUNT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215717",
            "telephone_number": "314-359-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 MOUNT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215717",
            "telephone_number": "314-359-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY 12 MOBILE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BELK",
        "authorized_official_first_name": "KEYONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-359-2408"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.