Prosperity Trans 1 LLC

Primary specialty

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

License

076902577 Issued in TN

Legal business name

PROSPERITY TRANS 1 LLC

Practice address

156 Star Blossom Dr Apt 408
2600 Poplar Ave 120
Memphis, TN 38103-1650

Phone

(901) 833-3656

Fax

(901) 207-6204

NPI assigned

Feb 23, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PROSPERITYAs reported in NPPES

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

Authorized official

Name

Priest M Avant

Title

Owneroperator

Phone

(901) 833-3656

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Prosperity Trans 1 LLC

Locations

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1811356546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 POPLAR AVE STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123835",
            "telephone_number": "901-207-6015",
            "fax_number": "901-207-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 STAR BLOSSOM DR APT 408",
            "address_2": "2600 POPLAR AVE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031650",
            "telephone_number": "901-833-3656",
            "fax_number": "901-207-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY TRANS 1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPERITY",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "PRIEST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNEROPERATOR",
        "authorized_official_telephone_number": "901-833-3656"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "076902577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017230",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promise Cares Inc
• Promise Land Enterprise LLC
• Prompt Transportation
• Adeline Prophete, DDS
• Amelia Prophete, MD
• Prospero Health Partners, P.C.
• Prospine PLC
• Anastazia Sophia Prost, MD
• Prosthetic Orthotic & Pedorthic Associates, Inc.
• Dallas Jordan Davis Provence, NP

• Non-emergency Medical Transport (VAN) in Memphis, TN
• Providers in Memphis, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.