Organization Active NPI

Indy on Time Non Emergency Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
National Provider Identifier
1750156329
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
INDY ON TIME NON EMERGENCY MEDICAL TRANSPORTATION LLC
Practice address
4325 Abby Creek LN
Indianapolis, IN 46205-2506
Phone
(317) 201-2222
NPI assigned
Nov 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Authorized official

Name
Mr. Idris Wilson
Title
Owner
Phone
(317) 201-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4325 Abby Creek LN
Indianapolis, IN 46205-2506

Mailing address

4325 Abby Creek LN
Indianapolis, IN 46205-2506
Phone (317) 201-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1750156329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 ABBY CREEK LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052506",
            "telephone_number": "317-201-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 ABBY CREEK LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052506",
            "telephone_number": "317-201-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY ON TIME NON EMERGENCY MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-201-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.