Organization Active NPI

Angel Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Antioch, TN
National Provider Identifier
1942871850
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGEL TRANS LLC
Practice address
3116 Shady Tree LN
Antioch, TN 37013-2482
Phone
(615) 684-5524
NPI assigned
Jul 2, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Mr. Elmoeiz Elagib Elfaki
Title
Owner
Phone
(615) 684-5524

Specialties & licenses 1

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

Addresses

Primary practice location

3116 Shady Tree LN
Antioch, TN 37013-2482

Mailing address

3116 Shady Tree LN
Antioch, TN 37013-2482
Phone (615) 684-5524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1942871850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 SHADY TREE LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132482",
            "telephone_number": "615-684-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 SHADY TREE LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132482",
            "telephone_number": "615-684-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "ELFAKI",
        "authorized_official_first_name": "ELMOEIZ",
        "authorized_official_middle_name": "ELAGIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-684-5524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.