LEGACY TRANSPORT SERVICES (NPI# 1366085516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366085516 |
| Entity Type | Organization |
| Organization Name | LEGACY TRANSPORT SERVICES |
| Practice Address |
101 N Pine St Ste 303 Spartanburg SC 29302-1604 |
| Practice Telephone | 8642661094 |
| Mailing Telephone | 8642661094 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MAC A WILKES (ADMINISTRATOR) |
| Authorized Official Telephone | 8642661094 |
| 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 |
|---|---|---|
| Washington State Corporations | LEGACY TRANSPORT SERVICES, INC. | 4624 16th St E Ste A6, Fife, WA 98424-2664 |
| Street Address |
101 N PINE ST STE 303 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778696 | Rae Jean Lipscomb | Counselor | 101 N Pine St Ste 303, Spartanburg, SC 29302 | 2006-05-18 |
| 1134331051 | Natasha Marie Inlow | Counselor | 101 N Pine St Ste 303, Spartanburg, SC 29302-1604 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1750995817 | Gracious Transportation Services,llc | Non-emergency Medical Transport (VAN) | 449 W Centennial St, Spartanburg, SC 29303-2767 | 2020-09-04 |
| 1831395151 | Md Transportation Service LLC | Non-emergency Medical Transport (VAN) | 100 Lakeridge Ln, Spartanburg, SC 29301-6109 | 2007-06-24 |
| 1780767764 | Jts Transport Service Inc | Non-emergency Medical Transport (VAN) | 1248 Boiling Springs Rd, Spartanburg, SC 29303 | 2006-10-23 |
| 1447701552 | Ambu-sure, LLC | Non-emergency Medical Transport (VAN) | 297 Foxhall Rd, Spartanburg, SC 29306-5509 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962530 | Nathan Bryant | Non-emergency Medical Transport (VAN) | 519b W Darlington St, Florence, SC 29501-2413 | 2020-11-05 |
| 1043810963 | Medix Transportation LLC | Non-emergency Medical Transport (VAN) | 479 Sunset Pointe Dr, Lyman, SC 29365-9332 | 2020-10-29 |
| 1104424894 | James Little | Non-emergency Medical Transport (VAN) | Red Line Medical Transport, 126 Taylor Lane, Lexington, SC 29073-2907 | 2020-10-14 |
| 1932715646 | Warriors Pride Transportation Services, LLC. | Non-emergency Medical Transport (VAN) | 212 Elstow Rd, Irmo, SC 29063-2173 | 2020-09-17 |
| 1841804515 | Dion Greer | Non-emergency Medical Transport (VAN) | 4 Crossbill Dr, Simpsonville, SC 29680-7331 | 2020-09-01 |
| 1891305389 | Leaf Transporation Company | Non-emergency Medical Transport (VAN) | 2724 Boardwalk, Florence, SC 29505-6651 | 2020-08-09 |
| 1437769700 | Shadera Williams | Non-emergency Medical Transport (VAN) | 30 Birch St, Kingstree, SC 29556-2064 | 2020-08-03 |
| 1043835663 | Candace Stewart | Non-emergency Medical Transport (VAN) | 903 S Santiago Dr Unit F, Florence, SC 29501-6048 | 2020-06-09 |
| 1770107591 | Yellow Cab Company of Charleston | Non-emergency Medical Transport (VAN) | 2019 Cherry Hill Ln, Charleston, SC 29405-9309 | 2020-06-08 |
| 1023632262 | Aeb Expess LLC | Non-emergency Medical Transport (VAN) | 109 Wild Dogwood Way, Greenville, SC 29605-5966 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.