Immaculate Care Transportation LLC

Primary specialty

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

Legal business name

IMMACULATE CARE TRANSPORTATION LLC

Practice address

1041 Bay Breeze Dr
Suffolk, VA 23435-3273

Phone

(919) 222-7602

NPI assigned

Feb 17, 2020

Last updated

Feb 20, 2020By 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

Mrs. India Castellow, RN, BSNNPI 1790324200

Title

President

Phone

(757) 778-3400

Specialties & licenses 1

Addresses

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.

• India N Castellow, RN,BSN

  • Non-emergency Medical Transport (VAN)
  • Suffolk, VA
  • NPI 1790324200
  NPD Authorized official

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1801429923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BAY BREEZE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353273",
            "telephone_number": "757-778-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BAY BREEZE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353273",
            "telephone_number": "919-222-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE CARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLOW",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-778-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inclusive Possibilities

• Non-emergency Medical Transport (VAN) in Suffolk, VA
• Providers in Suffolk, 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 Feb 20, 2020; 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.