White Glove Transportation LLC

Primary specialty

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

License

8970007677 Issued in IN

Legal business name

WHITE GLOVE TRANSPORTATION LLC

Practice address

7405 Antebellum Dr
Fort Wayne, IN 46815-6568

Phone

(260) 493-1181

Fax

(219) 627-9217

NPI assigned

Dec 2, 2016

Last updated

Dec 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Henschen, COTA/L

Title

Owner

Phone

(260) 433-8490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1760925168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 ANTEBELLUM DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156568",
            "telephone_number": "260-493-1181",
            "fax_number": "219-627-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 ANTEBELLUM DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156568",
            "telephone_number": "260-493-1181",
            "fax_number": "219-627-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE GLOVE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "HENSCHEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-433-8490",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "8970007677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Whipple, RBT
• Emily Elizabeth Whitacre, MSED
• Ashley Whitcraft, ATC
• Gloria D Whitcraft, LMFT
• White Cloud Home Care Services
• Aisha Oni White
• Catherine White, NP-C
• Kathryn White, BCBA
• Laura White, LCSW
• Martin R. White, O.D.

• Non-emergency Medical Transport (VAN) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.