TRAVEL PARADISE VACATIONS (NPI# 1982235057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982235057 |
| Entity Type | Organization |
| Organization Name | TRAVEL PARADISE VACATIONS |
| Practice Address |
1459 Wild Blossom Way Castle Rock CO 80104-7635 |
| Mailing Telephone | 2253339220 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | DR. LEQUESOR LYNETTE DAVIS (MANAGER/ CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2253339220 |
| Authorized Official Credential | PASTOR |
| Is Organization Subpart | Y |
| Parent Organization Name | TRAVEL PARADISE VACATIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| N | 344600000X | Taxi | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 347E00000X | Transportation Broker | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1215430210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215430210 | Travel Paradise Vacations | Non-emergency Medical Transport (VAN) | 1459 Wild Blossom Way, Castle Rock, CO 80104-7635 | 2018-03-15 |
| Street Address |
1459 WILD BLOSSOM WAY |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-7635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546443 | Lequesor Lynette Davis | Non-emergency Medical Transport (VAN) | 1459 Wild Blossom Way, Castle Rock, CO 80104-7635 | 2018-01-22 |
| 1629613310 | Donald Lee Davis | Taxi | 1459 Wild Blossom Way, Castle Rock, CO 80104-7635 | 2019-11-17 |
| 1215430210 | Travel Paradise Vacations | Non-emergency Medical Transport (VAN) | 1459 Wild Blossom Way, Castle Rock, CO 80104-7635 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235325 | Jean-pierre Fodjouo | Transportation Broker | 19391 E Wyoming Ave, Aurora, CO 80017-5552 | 2020-11-05 |
| 1962013250 | Osman M Hamdan | Transportation Broker | 3640 Richmond Dr, Colorado Springs, CO 80922-1353 | 2020-08-11 |
| 1356951362 | Solomon Dejene | Transportation Broker | 15755 E Center Ave, Aurora, CO 80017-2017 | 2020-08-04 |
| 1407478688 | Niah M Lessard | Transportation Broker | 10346 Park Meadows Dr, Lone Tree, CO 80124-6870 | 2020-05-11 |
| 1265061659 | Medi-ops, LLC | Transportation Broker | 9888 W Belleview Ave # 5070, Denver, CO 80123-2101 | 2020-04-07 |
| 1831729813 | Metasebya Tesema | Transportation Broker | 20631 E 48th Pl, Denver, CO 80249-7480 | 2020-01-18 |
| 1508416462 | Colorado Native Care LLC | Transportation Broker | 1312 17th St # 170, Denver, CO 80202-1508 | 2019-09-12 |
| 1073162715 | Star Ride LLC | Transportation Broker | 21457 E 55th Ave, Denver, CO 80249-8398 | 2019-09-05 |
| 1336706456 | Steel City Residential and Support Services LLC | Transportation Broker | 21 Dundee Ln, Pueblo, CO 81001-1727 | 2019-05-23 |
| 1306401872 | Go Medical Rides Ltd | Transportation Broker | 1436 S Buchanan Cir, Aurora, CO 80018-6006 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on TRAVEL PARADISE VACATIONS.
| 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.