Ray A Rougeaux

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

12704 Bruce Dr
Balch Springs, TX 75180-5301

Phone

(469) 774-7483

NPI assigned

Aug 29, 2022

Last updated

Apr 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1 Call Non-Emergency Transportation Service

  • Home Health Aide
  • Balch Springs, TX
  • NPI 1225754070
  Authorized official Same address or phone
• 1 Call Non-Emergency Transportation Service

  dba On Site Auto Detail

  • Home Health Aide
  • Balch Springs, TX
  • NPI 1609592104
  Authorized official Same address or phone
• 1 Call Non-Emergency Transportation Service

  dba On Site Auto Detail

  • Secured Medical Transport (VAN)
  • Balch Springs, TX
  • NPI 1104540475
  NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1780304915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 BRUCE DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751805301",
            "telephone_number": "469-774-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 BRUCE DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751805301",
            "telephone_number": "469-774-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGEAUX",
        "first_name": "RAY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "13045227",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "12704 Bruce Dr",
            "city": "Balch Springs",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751805301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "12704 Bruce Dr",
            "city": "Balch Springs",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751805301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Donette Lavell Ross, ADMINISTRATOR
• Darlene Rougeaux
• Jermaine Sapp
• Daisy Joaly Secundino, PHARMACIST
• Shahrooz Seifikar, DDS
• Sessions Therapy and Consulting
• Kim E Shaffer, COTA/L

• Secured Medical Transport (VAN) in Balch Springs, TX
• Providers in Balch Springs, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.