OrganizationActive
Black Coach Transportation Services LLC
NPI 1134867690 · Non-emergency Medical Transport (VAN) · Wildwood, FL
Provider details
- NPI number
- 1134867690
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Robert Dixon, Owner(352) 461-7174
Specialties & taxonomies
Transportation Services
- Taxi344600000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Gilliam St Apt A2
Wildwood, FL 34785-4658
Phone: (352) 461-7174
Fax: (352) 748-8895
Approximate (ZIP-level) locationGet directions
Mailing address
500 Gilliam St Apt A2
Wildwood, FL 34785-4658
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.