Azhala Medicare Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

AZHALA MEDICARE TRANSPORTATION LLC

Practice address

530 Buckingham Rd
Richardson, TX 75081-5701

Phone

(512) 566-9881

NPI assigned

Mar 12, 2022

Organization subpart

No

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

Authorized official

Name

Abrha Kahsay Abrha, N/A

Title

N/a

Phone

(512) 566-9881

Specialties & licenses 2

Addresses

Other names 1

• AZHALA MEDICARE TRANSPORTATION LLC Former legal business name

Electronic endpoints 2

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1043968738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815701",
            "telephone_number": "512-566-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815701",
            "telephone_number": "512-566-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZHALA MEDICARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "ABRHA",
        "authorized_official_first_name": "ABRHA",
        "authorized_official_middle_name": "KAHSAY",
        "authorized_official_title_or_position": "N/A",
        "authorized_official_telephone_number": "512-566-9881",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5125669881",
            "affiliation": "N",
            "endpointDescription": "SEND MESSEGE TO MY PHONE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "5125669881",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "5125669881",
            "address_1": "12001 Dessau Rd Apt 422",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5125669881",
            "affiliation": "N",
            "endpointDescription": "SEND MESSEGE TO MY PHONE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "5125669881",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "5125669881",
            "address_1": "12001 Dessau Rd Apt 422",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AZHALA MEDICARE TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AZHALA MEDICARE TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Secured Medical Transport (VAN) in Richardson, TX
• Providers in Richardson, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.