IMPACT TRANSPORTATION, LLC (NPI# 1619494721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619494721 |
| Entity Type | Organization |
| Organization Name | IMPACT TRANSPORTATION, LLC |
| Practice Address |
5490 Bradford Hicks Dr Livingston TN 38570-2250 |
| Practice Telephone | 9318234440 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. FREMMAN LEE CROWDER IV (OWNER) |
| Authorized Official Telephone | 9318234440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343800000X | Secured Medical Transport (VAN) | ========= | TN | Transportation Services |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | ========= | TN | Transportation Services |
| Street Address |
5490 BRADFORD HICKS DR |
| City | LIVINGSTON |
| State | TN |
| Zip Code | 38570-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871062620 | Freeman Enterprises, LLC | Non-emergency Medical Transport (VAN) | 5490 Bradford Hicks Dr, Livingston, TN 38570-2250 | 2018-11-21 |
| 1932683232 | Freeman Crowder Iv | Non-emergency Medical Transport (VAN) | 5490 Bradford Hicks Dr, Livingston, TN 38570-2250 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825648 | Larry W Neal | Non-emergency Medical Transport (VAN) | 4145 Bradford Hicks Dr, Livingston, TN 38570 | 2011-05-04 |
| 1457682734 | Rocky Top Delivery Service | Non-emergency Medical Transport (VAN) | 11653 Bradford Hicks Dr., Livingston, TN 38570 | 2010-01-26 |
| 1790936425 | Linde-rss, LLC | Durable Medical Equipment & Medical Supplies | 104b West Court Square, Livingston, TN 38570 | 2008-09-30 |
| 1114053816 | Angela Abbott | Registered Nurse | 5885 Bradford Hicks Drive, Tn Dept of Health, Livingston, TN 38570 | 2007-02-26 |
| 1700929205 | Cumberland Plateau Recovery | Counselor | 550 North Church Street, Livingston, TN 38570 | 2007-02-14 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1710900691 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 321 West Broad St, Suite A, Livingston, TN 38570 | 2006-07-25 |
| 1982647665 | Mark Douglas Pressley | Emergency Medicine | Livingston Regional Hospital, 315 Oak Street, Livingston, TN 38570 | 2006-06-13 |
| 1245586031 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-30 |
| 1497010623 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-13 |
| Find all providers in zip 38570 | ||||
| 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 |
|---|---|---|---|---|
| 1407465487 | Tabitha Dawn Munsch | Non-emergency Medical Transport (VAN) | 231 Lakeside Dr, Livingston, TX 77351-8967 | 2020-07-27 |
| 1699239632 | Mario Mendoza | Non-emergency Medical Transport (VAN) | 1441 Swan St, Livingston, CA 95334-1836 | 2019-01-23 |
| 1740774504 | Life Tech, Inc | Non-emergency Medical Transport (VAN) | 70 S Orange Ave Ste 105, Livingston, NJ 07039-4916 | 2018-06-15 |
| 1801288808 | Adam First, LLC | Non-emergency Medical Transport (VAN) | 210 Passaic Ave, Livingston, NJ 07039-5818 | 2015-02-27 |
| 1598163784 | Brite Cooper | Non-emergency Medical Transport (VAN) | 171 Bilbrey Rd, Livingston, TN 38570-6034 | 2014-12-20 |
| 1225376841 | Health Access Plus | Non-emergency Medical Transport (VAN) | 120 Park Rd, Livingston, TN 38570-6217 | 2013-01-17 |
| 1275825648 | Larry W Neal | Non-emergency Medical Transport (VAN) | 4145 Bradford Hicks Dr, Livingston, TN 38570 | 2011-05-04 |
| 1457682734 | Rocky Top Delivery Service | Non-emergency Medical Transport (VAN) | 11653 Bradford Hicks Dr., Livingston, TN 38570 | 2010-01-26 |
| 1154933471 | Helping Hand Mobility Services | Non-emergency Medical Transport (VAN) | 231 Lakeside Dr, Livingston, TX 77351-8967 | 2020-08-18 |
| 1871062620 | Freeman Enterprises, LLC | Non-emergency Medical Transport (VAN) | 5490 Bradford Hicks Dr, Livingston, TN 38570-2250 | 2018-11-21 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 38570 |
Please comment or provide details below to improve the information on IMPACT TRANSPORTATION, 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.