LEGENDARY TRANSPORT LLC (NPI# 1629504105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629504105 |
| Entity Type | Organization |
| Organization Name | LEGENDARY TRANSPORT LLC |
| Practice Address |
301 Stanton St Calera OK 74730-1808 |
| Practice Telephone | 8773404407 |
| Mailing Telephone | 8773404407 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | JAKE TRUETT (OWNER) |
| Authorized Official Telephone | 8773404407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | OK | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LEGENDARY TRANSPORT LLC | 102 Reedville Ct, Stephens City, Virginia 22655 |
| Colorado Business Entities | LEGENDARY TRANSPORT LLC | 8326 Fox St, Denver, CO 80221 |
| Street Address |
301 STANTON ST |
| City | CALERA |
| State | OK |
| Zip Code | 74730-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164998274 | Marynna Annisa Mays | Registered Nurse | 6577 Us Hwy 69-75, Calera, OK 74730 | 2018-10-16 |
| 1194241430 | Onesource LLC | Pharmacy | 100 Don Williams Ave, Ste 100, Tuttle, OK 74730 | 2017-08-18 |
| 1235685587 | Kirstyn Plymale | Case Manager/Care Coordinator | 204 North 7th Street, Apt. 204b, Calera, OK 74730 | 2016-08-28 |
| 1427181478 | Sabrina Arnold | Counselor | 106 Glenbrook Dr., Calera, OK 74730 | 2007-03-13 |
| 1689215014 | Sunni Miller | Pharmacist | 213 E Main St, St 100, Calera, OK 74730 | 2019-10-07 |
| 1285000661 | Brenda Smith | Health Educator | 308 West Smiser, Calera, OK 74730 | 2015-08-19 |
| 1194191577 | Roberta Phillips | Health Educator | 308 West Smiser, Calera, OK 74730 | 2015-08-19 |
| 1720454101 | Danielle Pruitt | Health Educator | 308 West Smiser Street, Calera, OK 74730-0308 | 2015-08-19 |
| 1477003317 | Alecia Gossett I | Local Education Agency (LEA) | 308 W. Smiser, Calera, OK 74730-0386 | 2016-10-04 |
| 1578691184 | Calera Public Schools | Local Education Agency (LEA) | 3rd and Ryan, Calera, OK 74730-0386 | 2007-03-02 |
| Find all providers in zip 74730 | ||||
| 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 |
|---|---|---|---|---|
| 1598324998 | Allcare Services LLC | Non-emergency Medical Transport (VAN) | 4201 Smokey Rd Ste 102, Calera, AL 35040-4993 | 2019-06-10 |
| 1255973681 | Royal Care Express LLC | Non-emergency Medical Transport (VAN) | 1049 Emerald Ridge Dr, Calera, AL 35040-6107 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198550 | Sendaride, Inc. | Non-emergency Medical Transport (VAN) | 330 Nw 10th St, Oklahoma City, OK 73103-3905 | 2020-06-16 |
| 1801430319 | Ameriryde | Non-emergency Medical Transport (VAN) | 508 Nw 157th St, Edmond, OK 73013-1062 | 2019-10-29 |
| 1033751052 | Medical Ride Transportation LLC | Non-emergency Medical Transport (VAN) | 6625 S Utica Pl, Tulsa, OK 74136-2415 | 2019-10-10 |
| 1891350393 | Med Hope Transport LLC | Non-emergency Medical Transport (VAN) | 3129 Nw 34th St, Oklahoma City, OK 73112-6726 | 2019-05-09 |
| 1972074219 | Greg Gray | Non-emergency Medical Transport (VAN) | 12716 Saint Andrews Dr, Oklahoma City, OK 73120-8817 | 2018-12-16 |
| 1598280281 | Compass One Transportation, Inc | Non-emergency Medical Transport (VAN) | 25724 S 608 Rd, Grove, OK 74344-0213 | 2017-08-03 |
| 1578099636 | Mobility One Transportation Inc. | Non-emergency Medical Transport (VAN) | 17520 E Pine St, Tulsa, OK 74116-4926 | 2017-05-11 |
| 1326595695 | Support Plus Transportation Service | Non-emergency Medical Transport (VAN) | 10605 E 33rd St, Tulsa, OK 74146-1810 | 2016-09-05 |
| 1114339827 | Mobile Medic LLC | Non-emergency Medical Transport (VAN) | 1305 Winnipeg Dr, Yukon, OK 73099 | 2014-05-29 |
| 1689005415 | Dimple Morgan | Non-emergency Medical Transport (VAN) | 8912 Ne 10th St, B, Midwest City, OK 73110-7106 | 2013-12-04 |
| Find all providers with the same taxonomy | ||||
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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.