Vip Limousine Service, LTD.

Primary specialty

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

License

038789 Issued in WV

Legal business name

VIP LIMOUSINE SERVICE, LTD.

Practice address

210 E Piedmont St
Keyser, WV 26726-3125

Phone

(304) 788-3531

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Glen Marvin Lee

Title

President

Phone

(304) 788-3531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720115694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E PIEDMONT ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263125",
            "telephone_number": "304-788-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E PIEDMONT ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263125",
            "telephone_number": "304-788-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP LIMOUSINE SERVICE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-788-3531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "038789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Urice
• Hamed Vahedikafshgari, MD
• Brenda Lee Vauls
• Erica Nicole Velazquez
• James P. Viglianco, M.D.
• Shawna Marie Wagoner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2474)
• Wal-Mart Stores East, LP (Vision Center 30-2474)
• Walgreen Co (Walgreens #19956)
• Barbara Faye Warnick

• Non-emergency Medical Transport (VAN) in Keyser, WV
• Providers in Keyser, WV by specialty
• Non-emergency Medical Transport (VAN) in West Virginia

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