Elite Ppec Transport LLC

Primary specialty

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

Legal business name

ELITE PPEC TRANSPORT LLC

Practice address

411 S 21St Ave
Hollywood, FL 33020-5013

Phone

(754) 263-2925

Fax

(954) 416-7963

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Issette Borrego

Title

Administrator

Phone

(754) 263-2925

Specialties & licenses 1

Addresses

Other names 1

• Elite PPEC Transport LLC Other name

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1770308512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205013",
            "telephone_number": "754-263-2925",
            "fax_number": "954-416-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205013",
            "telephone_number": "754-263-2925",
            "fax_number": "954-416-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PPEC TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "ISSETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-263-2925"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite PPEC Transport LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.