Organization Active NPI

Roman Destination Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
National Provider Identifier
1699305474
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ROMAN DESTINATION TRANSPORTATION LLC
Practice address
1499 Guardian Dr
Jacksonville, FL 32221-8028
Phone
(904) 891-1828
Fax
(904) 580-5197
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Cheryle W Roman, MASTER OF EDUCATION
Title
General Manager/Agent/Owner
Phone
(904) 891-1828

Specialties & licenses 1

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

Addresses

Primary practice location

1499 Guardian Dr
Jacksonville, FL 32221-8028

Mailing address

1499 Guardian Dr
Jacksonville, FL 32221-8028
Phone (904) 891-1828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1699305474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 GUARDIAN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218028",
            "telephone_number": "904-891-1828",
            "fax_number": "904-580-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 GUARDIAN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218028",
            "telephone_number": "904-891-1828",
            "fax_number": "904-580-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN DESTINATION TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "CHERYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL MANAGER/AGENT/OWNER",
        "authorized_official_telephone_number": "904-891-1828",
        "authorized_official_credential": "MASTER OF EDUCATION"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.