NPIMap

Organization Active NPI

Coach Dreammakers L.L.C.

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
National Provider Identifier
1992043426
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2330496686 Issued in IN
Legal business name
COACH DREAMMAKERS L.L.C.
Practice address
5435 Emerson Way Ste 210
Indianapolis, IN 46226-1469
Phone
(317) 758-7518
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Mr. Ricky Buckley Jr.
Title
Owner
Phone
(317) 513-2386

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 2330496686 IN
Non-emergency Medical Transport (VAN) 343900000X 2330496686 IN Primary
Bus 347B00000X 2330496686 IN

Addresses

Primary practice location

5435 Emerson Way Ste 210
Indianapolis, IN 46226-1469

Mailing address

3136 W 21St St
Indianapolis, IN 46222-4802
Phone (317) 513-2386

National Provider Directory

National Provider Directory
Tax ID family
Coach Dreammakers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1992043426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 W 21ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462224802",
            "telephone_number": "317-513-2386",
            "fax_number": "317-917-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261469",
            "telephone_number": "317-758-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACH DREAMMAKERS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-513-2386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IN",
            "license": "2330496686",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "2330496686",
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "IN",
            "license": "2330496686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.