Organization Active NPI

Team4 Transport LLC

Doing business as LLC

  • Non-emergency Medical Transport (VAN)
  • Deltona, FL
National Provider Identifier
1801385737
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
20019 Issued in FL
Legal business name
TEAM4 TRANSPORT LLC
Doing business as
LLC
Practice address
911 E Fairbairn Dr
Deltona, FL 32725-6955
Phone
(386) 383-1400
Fax
(386) 753-5071
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Maria Teresa Horlador Bliven, OCCUPATIONAL THERAPINPI 1023357613
Title
Manager
Phone
(386) 383-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 20019 FL Primary

Addresses

Primary practice location

911 E Fairbairn Dr
Deltona, FL 32725-6955

Mailing address

911 E Fairbairn Dr
Deltona, FL 32725-6955
Phone (386) 383-1400

Other names 1

  • LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1801385737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E FAIRBAIRN DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327256955",
            "telephone_number": "386-383-1400",
            "fax_number": "386-753-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E FAIRBAIRN DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327256955",
            "telephone_number": "386-383-1400",
            "fax_number": "386-753-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM4 TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "BLIVEN",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_middle_name": "HORLADOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-383-1400",
        "authorized_official_credential": "OCCUPATIONAL THERAPI"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.