PROSPERITY TRANS 1 LLC NPI 1811356546

NPI Information

NPI: 1811356546
Provider Name: PROSPERITY TRANS 1 LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address: 156 STAR BLOSSOM DR APT 408
2600 POPLAR AVE 120
MEMPHIS, TN
ZIP 38103
Phone: (901) 833-3656

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NPI Details

PROSPERITY TRANS 1 LLC is a non emergency medical transport van in Memphis, TN. The provider is 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. PROSPERITY TRANS 1 LLC NPI is 1811356546. The provider is registered as an organization entity type.

The provider's business location address is:

156 STAR BLOSSOM DR APT 408
2600 POPLAR AVE 120
MEMPHIS, TN
ZIP 38103-650
Phone: (901) 833-3656
Fax: (901) 207-6204

The provider's authorized official is Priest M Avant .
The authorized official title is Owneroperator and has the following contact phone number (901) 833-3656.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 5/24/2016.

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
1	343900000X	Non-emergency Medical Transport (VAN)				No
2	343900000X	Non-emergency Medical Transport (VAN)		076902577	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q017230	MEDICAID	TENNESSEE

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: 11/21/2025

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