Organization Active NPI

Mla Senior Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1053052332
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MLA SENIOR TRANSPORTATION LLC
Practice address
3184 Enchanted CT
Green Bay, WI 54311-3407
Phone
(920) 815-9102
NPI assigned
Apr 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Mr. Alejandro Cortes Gonzalez
Title
President
Phone
(920) 815-9102

Specialties & licenses 1

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

Addresses

Primary practice location

3184 Enchanted CT
Green Bay, WI 54311-3407

Mailing address

3184 Enchanted CT
Green Bay, WI 54311-3407
Phone (920) 815-9102

Other names 1

  • MLA senior transportation LLc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1053052332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 ENCHANTED CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543113407",
            "telephone_number": "920-815-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 ENCHANTED CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543113407",
            "telephone_number": "920-815-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLA SENIOR TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "CORTES GONZALEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-815-9102",
        "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": [
        {
            "organization_name": "MLA senior transportation LLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.