Pre-Destination Elderly & Handicap LLC

Primary specialty

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

Legal business name

PRE-DESTINATION ELDERLY & HANDICAP LLC

Practice address

250 N Bishop Ave Apt 2
Bridgeport, CT 06610-2455

Phone

(203) 572-6065

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Reginal PredestinNPI 1306595244

Title

Owner

Phone

(203) 572-6065

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reginal Predestin, OWNER

  • Contractor
  • Bridgeport, CT
  • NPI 1306595244
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1760131528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N BISHOP AVE APT 2",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N BISHOP AVE APT 2",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102455",
            "telephone_number": "203-572-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRE-DESTINATION ELDERLY & HANDICAP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "PREDESTIN",
        "authorized_official_first_name": "REGINAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-572-6065"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raksha Gauri Prabhulal, MD
• Kaila Prakuson, LCSW
• Vanessa Pralle, OTR/L
• Ida R Pratt, CHW
• Marilyn Pratt, LMSW
• Kathleen Regina Prece, LCSW
• Precise Care, LLC
• Angela Preda, PA
• Reginal Predestin, OWNER
• Claudia Preisick, LPC

• Non-emergency Medical Transport (VAN) in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Non-emergency Medical Transport (VAN) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.