Active NPI
Rockerz on Wheelz Transportation LLC
- In Home Supportive Care Agency
- Newberry, FL
National Provider Identifier
1720680259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ROCKERZ ON WHEELZ TRANSPORTATION LLC
- Practice address
- 25154 NW 4TH Ave
Newberry, FL 32669-3266 - Phone
- (813) 330-5939
- NPI assigned
- Nov 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Destiny L Ingram
- Title
- Ceo
- Phone
- (813) 330-5939
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
25154 NW 4TH Ave
Newberry, FL 32669-3266
Mailing address
PO Box 844
Newberry, FL 32669-0844
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1720680259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25154 NW 4TH AVE",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326693266",
"telephone_number": "813-330-5939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKERZ ON WHEELZ TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "INGRAM",
"authorized_official_first_name": "DESTINY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-330-5939"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.