St. John Legacy LLC

Primary specialty

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

License

T67196902 Issued in VA

Legal business name

ST. JOHN LEGACY LLC

Practice address

1452 Commerce Rd
Farmville, VA 23901-2749

Phone

(804) 617-7219

Fax

(434) 392-4084

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Preston Maurice St. John

Title

Owner

Phone

(804) 617-7219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1871945253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 COMMERCE RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012749",
            "telephone_number": "804-617-7219",
            "fax_number": "434-392-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 COMMERCE RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012749",
            "telephone_number": "804-617-7219",
            "fax_number": "434-392-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "ST. JOHN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-617-7219"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T67196902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Farmville, VA
• Providers in Farmville, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.