Care-a-Van Medical Transit LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

CARE-A-VAN MEDICAL TRANSIT LLC

Practice address

8331 Blue Ridge Dr
Southaven, MS 38672-6589

Phone

(901) 857-5961

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Mr. Kenji Jermaine WellsNPI 1295419406

Title

Executive Director

Phone

(901) 857-5961

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Kenji Jermaine Wells

  • Driver
  • Southaven, MS
  • NPI 1295419406
  NPD Authorized official
• Jason Russell

  • Driver
  • Southaven, MS
  • NPI 1225717325
  NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1831873496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 BLUE RIDGE DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726589",
            "telephone_number": "901-857-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 BLUE RIDGE DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726589",
            "telephone_number": "901-857-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE-A-VAN MEDICAL TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KENJI",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-857-5961",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Cannon, PLPC
• Kayla Jo Cantrell
• Sara Cardenas, LPC
• Care Clinic for Drug Addiction & Mental Health in North Mississippi
• Care Compass, LLC (Success on the Spectrum - Southaven)
• Carefast LLC
• Caring Hands at Home NMC
• Carnahan Clinic PLLC
• Walter Earl Carnahan, DO
• Donnielle Carney, NP

• Secured Medical Transport (VAN) in Southaven, MS
• Providers in Southaven, MS by specialty
• Secured Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.