PROUDLY ARIZONA LLC
NPI 1184346405
Non-emergency Medical Transport (VAN) in Phoenix, AZ

Active since September 13, 2022
1717 W NORTHERN AVE STE 106, PHOENIX, AZ 85021(323) 378-8797 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proudly Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROUDLY ARIZONA LLC (NPI 1184346405) is a healthcare organization registered as a non-emergency medical transport (van) in Phoenix, Arizona and active in the NPI registry since September 2022. The organization lists Esra A Khaleel, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1184346405
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NamePROUDLY ARIZONA LLC
Location Address1717 W NORTHERN AVE STE 106Phoenix, AZ 85021-5400
Mailing Address4816 W Bethany Home Rd Apt 90Glendale, AZ 85301-5233 · (323) 378-8797
Organization SubpartNo
Authorized OfficialEsra A KhaleelOwner/manager · (323) 378-8797
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
NPI 1184346405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition

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.

Also ListedTransportation Network CompanyTaxonomy 342000000X
1717 W NORTHERN AVE STE 106, Phoenix, AZ 85021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proudly Arizona LLC's NPI number?

The NPI number for Proudly Arizona LLC is 1184346405. It was assigned to this organization in the NPPES registry on September 13, 2022.

Where is Proudly Arizona LLC located?

Proudly Arizona LLC is located at 1717 W Northern Ave Ste 106, Phoenix, AZ 85021. The listed phone number is (323) 378-8797.

What is Proudly Arizona LLC's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Proudly Arizona LLC was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.