Organization Active NPI

Mercy Wheels Transportation

  • Non-emergency Medical Transport (VAN)
  • Roseville, CA
National Provider Identifier
1003597139
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MERCY WHEELS TRANSPORTATION
Practice address
224 Sagemoor CT
Roseville, CA 95678-3435
Phone
(510) 689-6059
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Abraham G Teweldebrhan
Title
Ceo
Phone
(510) 689-6059

Specialties & licenses 1

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

Addresses

Primary practice location

224 Sagemoor CT
Roseville, CA 95678-3435

Mailing address

224 Sagemoor CT
Roseville, CA 95678-3435
Phone (510) 689-6059

Other practice location 1

224 Sagemoor Ct
Roseville, CA 95678-3435

Other names 2

  • Trucking and Assisting Living (RCFE) Doing business as
  • non Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1003597139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAGEMOOR CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783435",
            "telephone_number": "510-689-6059",
            "fax_number": "916-540-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAGEMOOR CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783435",
            "telephone_number": "510-689-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Sagemoor Ct",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956783435",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY WHEELS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "TEWELDEBRHAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-689-6059"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trucking and Assisting Living (RCFE)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "non",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.