Organization Active NPI

Vida Quard Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1912725417
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VIDA QUARD TRANSPORTATION INC
Practice address
2314 N Front St
Philadelphia, PA 19133-3716
Phone
(713) 478-0650
Fax
(267) 538-6528
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Wissan Barouki Blanco
Title
President
Phone
(713) 478-0650

Specialties & licenses 2

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

Addresses

Primary practice location

2314 N Front St
Philadelphia, PA 19133-3716

Mailing address

2314 N Front St
Philadelphia, PA 19133-3716
Phone (713) 478-0650

National Provider Directory

National Provider Directory

Locations

2314 N Front St
Philadelphia, PA 19133
Phone (713) 478-0650

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1912725417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333716",
            "telephone_number": "713-478-0650",
            "fax_number": "267-538-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333716",
            "telephone_number": "713-478-0650",
            "fax_number": "267-538-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA QUARD TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BAROUKI BLANCO",
        "authorized_official_first_name": "WISSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-478-0650"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.