Tarheelbluetransportation LLC

Primary specialty

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

Legal business name

TARHEELBLUETRANSPORTATION LLC

Doing business as

Tarheel Blue Transportation LLC

Practice address

7 Elsworth CT
MC Leansville, NC 27301-9308

Phone

(336) 512-3381

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Shabazz Jama ChelleyNPI 1497268387

Title

Owner/ Operator

Phone

(336) 512-3381

Specialties & licenses 3

Addresses

Other names 1

• Tarheel Blue Transportation LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Shabazz Jama Chelley

  • Cognitive & Behavioral Psychologist
  • McLeansville, NC
  • NPI 1497268387
  NPD Authorized official

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1982267092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELSWORTH CT",
            "city": "MCLEANSVILLE",
            "state": "NC",
            "postal_code": "27301",
            "telephone_number": "336-512-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELSWORTH CT",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019308",
            "telephone_number": "336-512-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 E Church St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241126208",
            "country_code": "US",
            "telephone_number": "336-512-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TARHEELBLUETRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2021-07-14",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CHELLEY",
        "authorized_official_first_name": "SHABAZZ",
        "authorized_official_middle_name": "JAMA",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "336-512-3381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Elsworth Ct",
            "city": "Mcleansville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tarheel Blue Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarheel Blue Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in McLeansville, NC
• Providers in McLeansville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

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