NPIMap

Organization Active NPI

Elite Transportation Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1952567950
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
108001952 Issued in TN
Legal business name
ELITE TRANSPORTATION SERVICES, LLC
Practice address
1509 Maurine Dr
Memphis, TN 38116-7967
Phone
(901) 378-2445
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Larry Harris Jr.
Title
Owner
Phone
(901) 378-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 108001952 TN Primary

Addresses

Primary practice location

1509 Maurine Dr
Memphis, TN 38116-7967

Mailing address

PO Box 301208
Memphis, TN 38130-1208
Phone (901) 378-2445

Other identifiers 1

IdentifierTypeStateIssuer
T000258OtherTNTENNCARE/MEDICAID GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1952567950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381301208",
            "telephone_number": "901-378-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MAURINE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167967",
            "telephone_number": "901-378-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TRANSPORTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-378-2445",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "108001952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE/MEDICAID GROUP PROVIDER NUMBER",
            "identifier": "T000258",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.