TRANSFIGURATION ENTERPRISES, LLC (NPI# 1902316870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902316870 |
| Entity Type | Organization |
| Organization Name | TRANSFIGURATION ENTERPRISES, LLC |
| Other Organization Name | KJT TRANSPORTATION |
| Practice Address |
608 E 22nd St Indianapolis IN 46202-1632 |
| Mailing Address |
2515 Autumn Rd Indianapolis IN 46229-5006 |
| Practice Telephone | 3178289695 |
| Mailing Telephone | 3178289695 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MR. JOHANNON R TATE (CEO) |
| Authorized Official Telephone | 3178289695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Other Name | Type Code |
|---|---|
| KJT Transportation | Doing Business As Name - Organization |
| Street Address |
608 E 22ND ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003095 | Connected Residential Consulting LLC | Private Vehicle | 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 | 2019-09-25 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1790223253 | Jsr Transportation | Private Vehicle | 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 | 2017-02-05 |
| 1477003507 | Jacquelyn Brewer | Private Vehicle | 9645 Westfield Blvd, Indianapolis, IN 46280-1771 | 2016-10-13 |
| 1871975029 | Dustin De'wayne Sheets | Private Vehicle | 1020 Hosbrook St, Suite D, Indianapolis, IN 46203-1067 | 2015-06-24 |
| 1073915856 | Ronnetta Odonghanro | Private Vehicle | 7001 Camelot Ct # 5, Indianapolis, IN 46214-3648 | 2014-09-23 |
| 1053732594 | Glenda J Singh | Private Vehicle | 5006 Oakbrook Rd, C, Indianapolis, IN 46254-1137 | 2013-12-31 |
| 1750637252 | Lachana Denise Miller | Private Vehicle | 3874 N Sherman Dr, Indianapolis, IN 46226-4462 | 2012-08-02 |
| 1487916417 | Walker Transportation | Private Vehicle | 3534 Pixley Ct, Indianapolis, IN 46235-2228 | 2012-06-14 |
| 1972874436 | Jeffrey Allan Hartley | Private Vehicle | 7135 Twin Oaks Dr, Suite H, Indianapolis, IN 46226-6847 | 2012-01-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on TRANSFIGURATION ENTERPRISES, LLC.
| 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.