Organization Active NPI

Fleetwood Transport Services LLC

  • Land Ambulance
  • Hernando, MS
National Provider Identifier
1972995637
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FLEETWOOD TRANSPORT SERVICES LLC
Practice address
1146 Crockett Loop S
Hernando, MS 38632-8369
Phone
(662) 444-4753
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mr. Jose OakleyNPI 1841688371
Title
Owner
Phone
(662) 444-4753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1146 Crockett Loop S
Hernando, MS 38632-8369

Mailing address

1146 Crockett Loop S
Hernando, MS 38632-8369
Phone (662) 444-4753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170320000463 MS Part B Supplier - Ambulance Service Supplier 2860777620 Practice locations: Nesbit, MS
O20180208001321 TN Part B Supplier - Ambulance Service Supplier 2860777620 Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

224A Motor Scooter Dr
Nesbit, MS 38651
Phone (662) 298-3301

2500 Mount Moriah Rd
Ste H232
Memphis, TN 38115
Phone (662) 298-3301

2500 Mount Moriah Rd
Ste H242
Memphis, TN 38115
Phone (662) 444-4753

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1972995637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 CROCKETT LOOP S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328369",
            "telephone_number": "662-444-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 CROCKETT LOOP S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328369",
            "telephone_number": "662-444-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEETWOOD TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-444-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.