NPIMap

Organization Active NPI

Care a Van Consolidated Transportation

  • Non-emergency Medical Transport (VAN)
  • Fernandina Beach, FL
National Provider Identifier
1982883971
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CARE A VAN CONSOLIDATED TRANSPORTATION
Practice address
1367 S 18TH St
Fernandina Beach, FL 32034-4756
Phone
(904) 261-0701
Fax
(904) 261-0704
NPI assigned
Oct 26, 2007
Organization subpart
Yes
Parent organization
NASSAU COUNTY COUNCIL ON AGING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Albert G Rizer
Title
Executive Director
Phone
(904) 261-0701

Specialties & licenses 1

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

Addresses

Primary practice location

1367 S 18TH St
Fernandina Beach, FL 32034-4756

Mailing address

1367 S 18TH St
Fernandina Beach, FL 32034-4756
Phone (904) 261-0701

Other identifiers 1

IdentifierTypeStateIssuer
083924803MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Nassau County Council on Aging Inc3 organizations share this tax ID, including this one
Part of
Nassau County Council on Aging Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1982883971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344756",
            "telephone_number": "904-261-0701",
            "fax_number": "904-261-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344756",
            "telephone_number": "904-261-0701",
            "fax_number": "904-261-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE A VAN CONSOLIDATED TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASSAU COUNTY COUNCIL ON AGING, INC.",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "RIZER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-261-0701",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "083924803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.