Organization Active NPI

Medivoy Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Kent, WA
National Provider Identifier
1760240618
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDIVOY TRANSPORTATION LLC
Practice address
1209 Central Ave S Ste 208
Kent, WA 98032-7436
Phone
(832) 494-6381
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Jevira Odera
Title
President
Phone
(832) 494-6381

Specialties & licenses 1

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

Addresses

Primary practice location

1209 Central Ave S Ste 208
Kent, WA 98032-7436

Mailing address

1209 Central Ave S Ste 208
Kent, WA 98032-7436
Phone (832) 494-6381

National Provider Directory

National Provider Directory

Locations

1209 Central Ave S
Ste 208
Kent, WA 98032
Phone (832) 494-6381

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1760240618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CENTRAL AVE S STE 208",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327436",
            "telephone_number": "832-494-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CENTRAL AVE S STE 208",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327436",
            "telephone_number": "832-494-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVOY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "ODERA",
        "authorized_official_first_name": "JEVIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-494-6381"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.