Organization Active NPI

Tandem Transport, LLC

  • Land Ambulance
  • Greenville, SC
National Provider Identifier
1912499468
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TANDEM TRANSPORT, LLC
Practice address
1315 Grove Rd
Greenville, SC 29605-4717
Phone
(864) 284-6000
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Kristy Ruff
Title
Partner
Phone
(864) 616-9504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X SC

Addresses

Primary practice location

1315 Grove Rd
Greenville, SC 29605-4717

Mailing address

1315 Grove Rd
Greenville, SC 29605-4717
Phone (864) 284-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190124002434 SC Part B Supplier - Ambulance Service Supplier 5092052316 Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1912499468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054717",
            "telephone_number": "864-284-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054717",
            "telephone_number": "864-284-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-03-14",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-616-9504"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1315 Grove Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.