Organization Active NPI

Halla Transportation

  • Non-emergency Medical Transport (VAN)
  • Oak Creek, WI
National Provider Identifier
1003570458
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HALLA TRANSPORTATION
Practice address
1421 W Birdsong Dr Apt B13
Oak Creek, WI 53154-8432
Phone
(414) 553-0745
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shamso Nur
Title
Owner
Phone
(414) 553-0745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1421 W Birdsong Dr Apt B13
Oak Creek, WI 53154-8432

Mailing address

1421 W Birdsong Dr Apt B13
Oak Creek, WI 53154-8432

Other identifiers 1

IdentifierTypeStateIssuer
100163974MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1003570458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W BIRDSONG DR APT B13",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W BIRDSONG DR APT B13",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548432",
            "telephone_number": "414-553-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLA TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "SHAMSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-553-0745"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163974",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.