Angels Heart Medical Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ANGELS HEART MEDICAL TRANSPORTATION LLC

Practice address

1129 Silver Lake Rd
Pavilion, NY 14525-9517

Phone

(585) 558-9019

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manoj Kumar Rai

Title

Owner

Phone

(585) 558-9019

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1699306829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 SILVER LAKE RD",
            "city": "PAVILION",
            "state": "NY",
            "postal_code": "145259517",
            "telephone_number": "585-558-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 SILVER LAKE RD",
            "city": "PAVILION",
            "state": "NY",
            "postal_code": "145259517",
            "telephone_number": "585-558-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HEART MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-558-9019"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Courtney
• Melissa E. Cutcliffe, DPT
• Miranda Feliciano, LPN
• Marie Lynn Hart, RN
• Jillian Rae Humphrey, LMSW

• Non-emergency Medical Transport (VAN) in Pavilion, NY
• Providers in Pavilion, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.