Active NPI
Healing Haven Transport Services LLC
- Secured Medical Transport (VAN)
- Desoto, TX
National Provider Identifier
1861207326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- HEALING HAVEN TRANSPORT SERVICES LLC
- Practice address
- 1344 Grand Teton Dr
Desoto, TX 75115-2939 - Phone
- (703) 554-7829
- Fax
- (469) 397-0779
- NPI assigned
- Feb 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mabel Nikoi
- Title
- Administrator
- Phone
- (703) 554-7829
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1344 Grand Teton Dr
Desoto, TX 75115-2939
Mailing address
1344 Grand Teton Dr
Desoto, TX 75115-2939
Phone (703) 554-7829
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1861207326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 GRAND TETON DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152939",
"telephone_number": "703-554-7829",
"fax_number": "469-397-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 GRAND TETON DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152939",
"telephone_number": "703-554-7829",
"fax_number": "469-397-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HAVEN TRANSPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-11",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "NIKOI",
"authorized_official_first_name": "MABEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-554-7829"
},
"taxonomies": [
{
"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 Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.