Organization Active NPI

Cruisecare Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Fontana, CA
National Provider Identifier
1760223960
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CRUISECARE TRANSPORT LLC
Practice address
5592 Siracusa Way
Fontana, CA 92336-4637
Phone
(760) 221-4203
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Nancy H. Wilson
Title
Ceo
Phone
(760) 221-4203

Specialties & licenses 1

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

Addresses

Primary practice location

5592 Siracusa Way
Fontana, CA 92336-4637

Mailing address

5592 Siracusa Way
Fontana, CA 92336-4637
Phone (760) 221-4203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1760223960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5592 SIRACUSA WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364637",
            "telephone_number": "760-221-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5592 SIRACUSA WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364637",
            "telephone_number": "760-221-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUISECARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-221-4203"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.