Executive Assistance Group LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EXECUTIVE ASSISTANCE GROUP LLC

Practice address

100 S 5TH St Ste 1900
Minneapolis, MN 55402-1267

Phone

(888) 386-8885

Fax

(612) 886-3930

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Charles Simpson

Title

Founder

Phone

(888) 386-8885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1033712534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 5TH ST STE 1900",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021267",
            "telephone_number": "888-386-8885",
            "fax_number": "612-886-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 5TH ST STE 1900",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021267",
            "telephone_number": "888-386-8885",
            "fax_number": "612-886-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE ASSISTANCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "888-386-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.