Organization Active NPI

Mercyland Health Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Clayton, NC
National Provider Identifier
1992443550
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MERCYLAND HEALTH TRANSPORTATION SERVICES LLC
Practice address
115 Wicklow CT
Clayton, NC 27527-5151
Phone
(919) 867-8090
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Aderonke Ajibulu
Title
President
Phone
(919) 867-8090

Specialties & licenses 1

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

Addresses

Primary practice location

115 Wicklow CT
Clayton, NC 27527-5151

Mailing address

115 Wicklow CT
Clayton, NC 27527-5151
Phone (919) 867-8090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1992443550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WICKLOW CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275151",
            "telephone_number": "919-867-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WICKLOW CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275151",
            "telephone_number": "919-867-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLAND HEALTH TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "AJIBULU",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-867-8090"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.