Royal Crown Trans LLC

Primary specialty

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

License

5657164 Issued in NM

Legal business name

ROYAL CROWN TRANS LLC

Practice address

213 W Mesa Ave
Gallup, NM 87301-6335

Phone

(614) 218-9817

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Sharmake Ahmed Mohamud

Title

Manager

Phone

(614) 218-9817

Specialties & licenses 2

Addresses

Other names 1

• Royal crown trans LLC Doing business as

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1982192415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 E VAN BUREN ST UNIT 3054",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083469",
            "telephone_number": "832-209-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MESA AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016335",
            "telephone_number": "614-218-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CROWN TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "SHARMAKE",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-218-9817"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "5657164",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal crown trans LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda D. Rosebrough, M.S., CCC-SLP
• Juan Pablo Rossini, MD
• Roswell Home Medical Inc
• Thomas Bailey Rountree, RN
• Michael Kory Rowberry, D.D.S.
• Alister A Rubenstein, PHARM.D
• Nakia Dewayne Rudd
• Andrew James Ruddle, R.N
• Debora J Russell, M.D.
• Mary Catherine Ryan, OTR/L

• Non-emergency Medical Transport (VAN) in Gallup, NM
• Providers in Gallup, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.