Organization Active NPI

Compassionate Transport Inc

  • Non-emergency Medical Transport (VAN)
  • Wake Forest, NC
National Provider Identifier
1942912969
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMPASSIONATE TRANSPORT INC
Practice address
2010 S Main St Ste 400
Wake Forest, NC 27587-4965
Phone
(919) 867-8224
Fax
(919) 822-9677
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ebonne Tanunese Love
Title
Chief Executive Officer
Phone
(336) 252-9602

Specialties & licenses 1

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

Addresses

Primary practice location

2010 S Main St Ste 400
Wake Forest, NC 27587-4965

Mailing address

2010 S Main St Ste 400
Wake Forest, NC 27587-4965
Phone (919) 867-8224

Other identifiers 1

IdentifierTypeStateIssuer
40416352MedicaidNC

Other names 1

  • Compassionate Transport Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2010 S Main St
Ste 400
Wake Forest, NC 27587
Phone (919) 867-8224

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1942912969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S MAIN ST STE 400",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874965",
            "telephone_number": "919-867-8224",
            "fax_number": "919-822-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S MAIN ST STE 400",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874965",
            "telephone_number": "919-867-8224",
            "fax_number": "919-822-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "EBONNE",
        "authorized_official_middle_name": "TANUNESE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-252-9602"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40416352",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Transport Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.