Healthcare Provider Details

I. General information

NPI: 1518886951
Provider Name (Legal Business Name): FROM THE HEART TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 GORDON DR
HOLLY SPRINGS MS
38635-1726
US

IV. Provider business mailing address

455 GORDON DR
HOLLY SPRINGS MS
38635-1726
US

V. Phone/Fax

Practice location:
  • Phone: 662-551-6909
  • Fax:
Mailing address:
  • Phone: 662-551-6909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHATONA JURLEAN RIDDLE
Title or Position: OWNER/ CEO
Credential:
Phone: 662-551-6909