Organization Active NPI

Fare Way Transportation

  • Attendant Care Provider
  • Lakeland, FL
National Provider Identifier
1689913154
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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

Updated by the provider on Dec 21, 2022

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)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
114599900MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.