Active NPI
Fare Way Transportation
- Attendant Care Provider
- Lakeland, FL
National Provider Identifier
1689913154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- FARE WAY TRANSPORTATION
- Practice address
- 2330 Golfview St
Lakeland, FL 33801-2528 - Phone
- (863) 581-0881
- Fax
- (863) 500-1976
- NPI assigned
- Feb 4, 2013
- 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
- Ventura Smith
- Title
- Owner/Operator
- Phone
- (863) 271-4398
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
2330 Golfview St
Lakeland, FL 33801-2528
Mailing address
115 E Van Fleet Dr Ste 245
Bartow, FL 33830-3829
Phone (863) 581-0881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114599900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
115 E Van Fleet Dr
Ste 245
Bartow, FL 33830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1689913154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E VAN FLEET DR STE 245",
"city": "BARTOW",
"state": "FL",
"postal_code": "338303829",
"telephone_number": "863-581-0881",
"fax_number": "863-500-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 GOLFVIEW ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338012528",
"telephone_number": "863-581-0881",
"fax_number": "863-500-1976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARE WAY TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-04",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "VENTURA",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "863-271-4398"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114599900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.