Organization Active NPI

Trucker's Haven LLC

  • Private Vehicle
  • Zebulon, NC
National Provider Identifier
1730893413
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
TRUCKER'S HAVEN LLC
Practice address
897 Golden Plum LN
Zebulon, NC 27597-9724
Phone
(910) 289-1767
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Ms. Genia Larese NewkirkNPI 1750091229
Title
Owner
Phone
(910) 289-1767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU Primary

Addresses

Primary practice location

897 Golden Plum LN
Zebulon, NC 27597-9724

Mailing address

897 Golden Plum LN
Zebulon, NC 27597-9724
Phone (910) 289-1767

National Provider Directory

National Provider Directory
Part of
Trucker's Haven LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1730893413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 GOLDEN PLUM LN",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979724",
            "telephone_number": "910-289-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 GOLDEN PLUM LN",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979724",
            "telephone_number": "910-289-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKER'S HAVEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "GENIA",
        "authorized_official_middle_name": "LARESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-289-1767",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.