Organization Active NPI

Heavenly Rides Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Portsmouth, VA
National Provider Identifier
1750977633
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HEAVENLY RIDES MEDICAL TRANSPORTATION, LLC
Doing business as
Heavenly Rides Medical Transportation, LLC
Practice address
20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone
(757) 639-3948
Fax
(757) 673-0774
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Makesha D BrownNPI 1497399893
Title
Owner
Phone
(757) 639-3948

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 1

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

Addresses

Primary practice location

20 Centre Port Cir
Portsmouth, VA 23703-5453

Mailing address

20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone (757) 639-3948

Other names 1

  • Heavenly Rides Medical Transportation, LLC Doing business as

National Provider Directory

National Provider Directory

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1750977633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRE PORT CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035453",
            "telephone_number": "757-639-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRE PORT CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035453",
            "telephone_number": "757-639-3948",
            "fax_number": "757-673-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY RIDES MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MAKESHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-639-3948"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Rides Medical Transportation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.