El-Shaddai & Sons Maintenance LLC

Primary specialty

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

Legal business name

EL-SHADDAI & SONS MAINTENANCE LLC

Doing business as

El-Shaddai & Sons Maintenance LLC

Practice address

209 Factory St
Cocoa, FL 32922

Phone

(321) 208-4334

NPI assigned

Aug 1, 2017

Organization subpart

Yes

Parent organization

EL-SHADDAI & SONS MAINTENANCE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Roshawn Felisha Weaver

Title

Owner

Phone

(321) 208-4334

Specialties & licenses 1

Addresses

Other names 1

• EL-SHADDAI & SONS MAINTENANCE LLC Doing business as

Part of

El-Shaddai Sons Maintenance LLC

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1851815849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FACTORY ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329224608",
            "telephone_number": "13212084334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FACTORY ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "32922",
            "telephone_number": "321-208-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL-SHADDAI & SONS MAINTENANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL-SHADDAI & SONS MAINTENANCE LLC",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROSHAWN",
        "authorized_official_middle_name": "FELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-208-4334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL-SHADDAI & SONS MAINTENANCE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mylinh Duong, PHARMD
• Lytysha A Dupont, MS, BCBA
• Savannah Dusthimer
• Suzanne Mary Eaton
• Jim Eavey, RPH
• Wendy Eldredge, MA, RMHCI
• Mark Ellis, RBT
• Elohim Palliative Care Inc
• Saffrone G Emerson, LMHC, NCC, M.A.
• Emma Jewel Charter School Inc. (Emma Jewel Charter Academy)

• Non-emergency Medical Transport (VAN) in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.