Connected Care Transport Inc

Primary specialty

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

License

090776142 Issued in TN

Legal business name

CONNECTED CARE TRANSPORT INC

Practice address

5865 Ridgeway Center Pkwy
Suite 300
Memphis, TN 38120-4032

Phone

(855) 255-7337

Fax

(855) 255-7337

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Quavisa Nicole Henderson, LPN

Title

Ceo

Phone

(855) 255-7337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1932642717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204032",
            "telephone_number": "855-255-7337",
            "fax_number": "855-255-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204032",
            "telephone_number": "855-255-7337",
            "fax_number": "855-255-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CARE TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "QUAVISA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-255-7337",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "090776142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Conklin, PHD
• Chelsea Conlee
• Danielle Conley
• Lakeisha Marie Conley, M.D.
• Lanita M Conley, LCSW
• Charlotte Connell
• Emily Germany Connell, CMSW
• Stephanie Ann Connelly, MD
• Amber V. Conner
• Andrew Timothy Conner, PT, DPT

• Non-emergency Medical Transport (VAN) in Memphis, TN
• Providers in Memphis, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.