Organization Active NPI

Kennedys Transportation LLC

  • Secured Medical Transport (VAN)
  • Irving, TX
National Provider Identifier
1891426482
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
KENNEDYS TRANSPORTATION LLC
Practice address
3442 N Belt Line Rd Apt 1074
Irving, TX 75062-7807
Phone
(972) 201-5842
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Enos Mulbah KennedyNPI 1841920972
Title
Owner
Phone
(972) 201-5842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3442 N Belt Line Rd Apt 1074
Irving, TX 75062-7807

Mailing address

3442 N Belt Line Rd Apt 1074
Irving, TX 75062-7807
Phone (972) 201-5842

Other practice location 1

3442 N Belt Line Rd Apt 1074
Irving, TX 75062-7807
Phone (972) 201-5842

Other identifiers 2

IdentifierTypeStateIssuer
1841920972OtherTXNPI NUMBER
1841920972MedicaidTX

Other names 1

  • NONE Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1891426482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 N BELT LINE RD APT 1074",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627807",
            "telephone_number": "972-201-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 N BELT LINE RD APT 1074",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627807",
            "telephone_number": "972-201-5842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3442 N Belt Line Rd Apt 1074",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750627807",
            "country_code": "US",
            "telephone_number": "972-201-5842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDYS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ENOS",
        "authorized_official_middle_name": "MULBAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-201-5842"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI   NUMBER",
            "identifier": "1841920972",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841920972",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.