Traveling Mercy Care,LLC

Primary specialty

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

License

000620 Issued in VA

Legal business name

TRAVELING MERCY CARE,LLC

Practice address

10510 Twin Ponds Dr.
Windsor, VA 23487

Phone

(757) 609-7037

NPI assigned

Aug 3, 2017

Last updated

Aug 3, 2017By 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

Caulette MosesNPI 1851813539

Title

Owner

Phone

(757) 609-7037

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caulette Moses

  • Non-emergency Medical Transport (VAN)
  • Windsor, VA
  • NPI 1851813539
  NPD (past) Authorized official

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1801310529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 TWIN PONDS DR",
            "city": "WINDSOR",
            "state": "VA",
            "postal_code": "234875448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 TWIN PONDS DR.",
            "city": "WINDSOR",
            "state": "VA",
            "postal_code": "23487",
            "telephone_number": "757-609-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING MERCY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "CAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-609-7037"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "000620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343900000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Simpson, DPT, CERT. MDT
• Angela Y Smith
• Leigh Ann Songer, OTR
• SP Windsor Health Investors, LLC (Tandem Health Care of Windsor)
• Stephen Maddock MD PHD PLC
• Virginia CVS Pharmacy LLC (CVS Pharmacy # 10991)
• Alexa Weisman
• Windsor Facility Operations, LLC (Consulate Health Care of Windsor)
• Windsor Medicine, PLLC
• Windsor Pharmacy, Inc.

• Non-emergency Medical Transport (VAN) in Windsor, VA
• Providers in Windsor, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.