Denise Latrice Henderson
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Ashley, IN
NPI 1700539814 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1700539814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 830 W State St
Ashley, IN 46705-9767 - Phone
- (260) 220-4961
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
830 W State St
Ashley, IN 46705-9767
Mailing address
PO Box 15022
Fort Wayne, IN 46885-5022
Phone (260) 220-4961
Other providers in Ashley, IN
All providers in Ashley, IN · Non-emergency Medical Transport (VAN) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.