FAREWELL TRANSPORTATION LLC (NPI# 1275134876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275134876 |
| Entity Type | Organization |
| Organization Name | FAREWELL TRANSPORTATION LLC |
| Practice Address |
152 Teresa St Princeton WV 24740-9059 |
| Practice Telephone | 3043238959 |
| Practice Fax Number | 8443995261 |
| Mailing Telephone | 3043238959 |
| Mailing Fax Number | 8443995261 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | CHRISTINA ANN WALKER (OWNER) |
| Authorized Official Telephone | 3043238959 |
| Authorized Official Credential | NEMT PROVIDER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FAREWELL TRANSPORTATION LLC | 4481 State Route 13, Truxton, Ny 13158 |
| Street Address |
152 TERESA ST |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| 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 |
|---|---|---|---|---|
| 1497211395 | Amer Ibrahim | Non-emergency Medical Transport (VAN) | 1309 Shumard Dr, Princeton, TX 75407-0438 | 2019-02-15 |
| 1477093573 | Wyncrest Support Services LLC | Non-emergency Medical Transport (VAN) | 238 Mt. Lucas Road, Princeton, NJ 08540 | 2017-03-08 |
| 1972959179 | Community Options Enterprises, Inc | Non-emergency Medical Transport (VAN) | 14 Farber Rd, Princeton, NJ 08540-5913 | 2016-05-06 |
| 1326342403 | Rum River Health Services, Inc | Non-emergency Medical Transport (VAN) | 101 18th Ave N, Princeton, MN 55371-4756 | 2011-01-04 |
| 1356507966 | Soaring Eagles Transportation, Inc. | Non-emergency Medical Transport (VAN) | 14279 42nd St, Princeton, MN 55371-6702 | 2008-08-03 |
| 1598833246 | Gibson County Council On Aging, Inc. | Non-emergency Medical Transport (VAN) | 212 S Richland Creek Dr, Princeton, IN 47670-9569 | 2006-12-01 |
| 1659477396 | Gateway Services Inc | Non-emergency Medical Transport (VAN) | 526 S Bureau Valley Pkwy, Suite B, Princeton, IL 61356-2046 | 2006-09-16 |
| 1033676325 | Wedyan Logistics | Non-emergency Medical Transport (VAN) | 1309 Shumard Dr, Princeton, TX 75407-0438 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780091 | Carerite Assisted Living | Non-emergency Medical Transport (VAN) | 36 Rumsey Ter, Martinsburg, WV 25403-1587 | 2020-08-11 |
| 1982254314 | Transport Housing LLC | Non-emergency Medical Transport (VAN) | 144 Ruthlawn Dr, Charleston, WV 25309-8872 | 2019-09-17 |
| 1952799413 | Stat Ems LLC | Non-emergency Medical Transport (VAN) | 84 Main Ave, Pineville, WV 24874-6001 | 2015-01-06 |
| 1336541457 | Ritchie Co. Integrated Family Services | Non-emergency Medical Transport (VAN) | 521 S. Court St., Harrisville, WV 26362 | 2014-09-19 |
| 1518378298 | Michael Moore | Non-emergency Medical Transport (VAN) | 932 Main Street East, Oak Hill, WV 25901 | 2014-05-15 |
| 1770994584 | Michael Landon Moore | Non-emergency Medical Transport (VAN) | 932 Main St E, Oak Hill, WV 25901-3153 | 2014-05-14 |
| 1942630066 | By His Hand Ministries and Transportation,inc. | Non-emergency Medical Transport (VAN) | 2612 Rohr Rd, Masontown, WV 26542-9119 | 2013-11-27 |
| 1821422148 | Blessed Transportation LLC | Non-emergency Medical Transport (VAN) | 2006 Allison Rd, Chester, WV 26034-2069 | 2013-08-22 |
| 1295179711 | Tri River Transit Authority | Non-emergency Medical Transport (VAN) | 753 Marconi Drive, Hamlin, WV 25523 | 2013-04-26 |
| 1255696837 | Loving Arms LLC | Non-emergency Medical Transport (VAN) | 113 Shumate Street, Oak Hill, WV 25901 | 2012-07-10 |
| 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.