COMMUNITY RESCUE MEDICAL TRANS, LLC (NPI# 1215536172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215536172 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESCUE MEDICAL TRANS, LLC |
| Practice Address |
3340 Poplar Ave Ste 133 Memphis TN 38111-4638 |
| Mailing Address |
1219 Hamilton St Memphis TN 38114-3175 |
| Practice Telephone | 9012053547 |
| Mailing Telephone | 9012053547 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MS. ERICA WAYNE (OWNER) |
| Authorized Official Telephone | 9012053547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Community Rescue Medical Trans, LLC | Former Legal Business Name - Organization |
| Street Address |
3340 POPLAR AVE STE 133 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
| 1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
| 1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
| 1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
| 1679181531 | Needy Transport | Non-emergency Medical Transport (VAN) | 1486 Catalina Rd, Memphis, TN 38111-5314 | 2020-07-16 |
| 1578187639 | Prestigious Transportation, LLC | Non-emergency Medical Transport (VAN) | 3845 Viscount Ave Ste 308, Memphis, TN 38118-6024 | 2020-06-04 |
| 1851913743 | Loranzo Andra Andrews | Non-emergency Medical Transport (VAN) | 4796 Lakeridge Dr, Memphis, TN 38109-6172 | 2020-05-13 |
| 1073149043 | Moore's Transportation, LLC | Non-emergency Medical Transport (VAN) | 2615 Wayne Pl, Memphis, TN 38133-8508 | 2020-03-21 |
| 1023654076 | Shampaon K Hewitt | Non-emergency Medical Transport (VAN) | 2074 Worthington Cir, Memphis, TN 38114-3003 | 2019-11-25 |
| 1194360396 | Yamika Shantell Wilson | Non-emergency Medical Transport (VAN) | 3421 Sellers St, Memphis, TN 38127-5230 | 2019-11-12 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.