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NPI 1619490422ActiveIndividual· Transportation Broker· Port Richey, FL

Transportation Broker in Port Richey, Florida, with an NPI issued in July 2017.

Overview

NPI1619490422
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 24, 2017
Last updated in NPPESSep 29, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Transportation Broker Primary347E00000X——
Counselor, Professional101YP2500X——
Behavior Analyst103K00000X——
Genetic Counselor, MS170300000X——
Interpreter171R00000X——
Driver172A00000X——
In Home Supportive Care253Z00000X——
Assisted Living Facility310400000X——
Private Vehicle347C00000X——
Adult Companion372600000X——
Home Health Aide374U00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years