{"npi":"1982193165","type":"NPI-2","status":"active","name":{"display":"Providence Transportation LLC","other":[],"organization_name":"PROVIDENCE TRANSPORTATION LLC","authorised_official":"Desmond Griffin"},"specialty":{"primary_taxonomy":"343900000X","primary_taxonomy_description":"Non-emergency Medical Transport (VAN)","slug":"non-emergency-medical-transport-van","schema_org_specialty":null,"all":[{"code":"253Z00000X","description":"In Home Supportive Care Agency","primary":false,"state":null,"license":null},{"code":"343900000X","description":"Non-emergency Medical Transport (VAN)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3800 CAMP CREEK PKWY SW BLDG 1400-116 SUITE 2287","city":"ATLANTA","state":"GA","postal_code":"303316045","country_code":"US","phone":"8005600253"},{"purpose":"MAILING","street_1":"3800 CAMP CREEK PKWY SW BLDG 1400-116","city":"ATLANTA","state":"GA","postal_code":"303316045","country_code":"US","phone":"5044181117"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1982193165","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1982193165","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-05-03","last_updated":"2022-09-28","_meta":{"source":"NPPES","snapshot_date":"2022-09-28","doc_url":"https://findmynpi.com/api"}}