YOUR DESTINATION TRANSPORT CO LLC NPI 1033880125

NPI Information

  • NPI: 1033880125
  • Provider Name: YOUR DESTINATION TRANSPORT CO LLC
  • Classification: Private Vehicle - 347C00000X
  • Entity Type: Organization
  • Address: 1196 WOLF SWAMP RD
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 264-3235

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NPI Details

YOUR DESTINATION TRANSPORT CO LLC is a private vehicle in Jacksonville, NC. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. YOUR DESTINATION TRANSPORT CO LLC NPI is 1033880125. The provider is registered as an organization entity type.

The provider's business location address is:

1196 WOLF SWAMP RD
JACKSONVILLE, NC
ZIP 28546-510
Phone: (910) 264-3235

The provider's authorized official is Candie Morgan Lewis .
The authorized official title is Owner and has the following contact phone number (910) 264-3235.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347C00000XPrivate VehicleYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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