Organization Active NPI

Gholston Paratransit Service LLC

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1821374091
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GHOLSTON PARATRANSIT SERVICE LLC
Practice address
5070 Parkside Avenue
Suite 2100
Philadelphia, PA 19131
Phone
(215) 490-7929
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Jarrad Marcellas Gholston
Title
President, Ceo
Phone
(215) 490-7929

Specialties & licenses 1

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

Addresses

Primary practice location

5070 Parkside Avenue
Suite 2100
Philadelphia, PA 19131

Mailing address

140 S 44TH St
Apt 3B
Philadelphia, PA 19104-2989
Phone (215) 490-7929

National Provider Directory

National Provider Directory

Locations

5070 Parkside Ave
Ste 2100
Philadelphia, PA 19131
Phone (215) 490-7929

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1821374091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S 44TH ST",
            "address_2": "APT 3B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042989",
            "telephone_number": "215-490-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 PARKSIDE AVENUE",
            "address_2": "SUITE 2100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-490-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLSTON PARATRANSIT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "GHOLSTON",
        "authorized_official_first_name": "JARRAD",
        "authorized_official_middle_name": "MARCELLAS",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "215-490-7929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.