5 Star Elite Medical Transportation Service

Primary specialty

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

License

0630-21-7075 Issued in IN

Legal business name

5 STAR ELITE MEDICAL TRANSPORTATION SERVICE

Practice address

349 King St
Gary, IN 46406-1350

Phone

(219) 577-2067

NPI assigned

May 14, 2012

Last updated

May 14, 2012By 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. Phillip Marc- Anthony Blevins

Title

Owner

Phone

(219) 577-2067

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1861751604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 KING ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061350",
            "telephone_number": "219-577-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 KING ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061350",
            "telephone_number": "219-577-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR ELITE MEDICAL TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARC- ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-577-2067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "0630-21-7075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Gary, IN
• Providers in Gary, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

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