Organization Active NPI

Phil 413 Transport Care

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1811638794
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
PHIL 413 TRANSPORT CARE
Practice address
6072 Beachview LN
Fort Worth, TX 76179-7552
Phone
(325) 513-7240
NPI assigned
Apr 5, 2022
Organization subpart
Yes
Parent organization
PHIL413 AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Vick M GhendaNPI 1588317010
Title
Owner
Phone
(325) 513-7240

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

6072 Beachview LN
Fort Worth, TX 76179-7552

Mailing address

6072 Beachview LN
Fort Worth, TX 76179-7552
Phone (325) 513-7240

National Provider Directory

National Provider Directory
Part of
Phil 413 Transport Care

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": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1811638794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 BEACHVIEW LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797552",
            "telephone_number": "325-513-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 BEACHVIEW LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797552",
            "telephone_number": "325-513-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL 413 TRANSPORT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHIL413 AGENCY",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "GHENDA",
        "authorized_official_first_name": "VICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-513-7240"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.