Active NPI
Homeboundtransportation
- Non-emergency Medical Transport (VAN)
- Minneapolis, MN
National Provider Identifier
1063782464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- HOMEBOUNDTRANSPORTATION
- Practice address
- 1401 W River Rd
A
Minneapolis, MN 55411-3436 - Phone
- (763) 439-8892
- Fax
- (612) 529-5839
- NPI assigned
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fouzia Ahmed Gadid I, CO
- Title
- Owner
- Phone
- (763) 439-8892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1401 W River Rd
A
Minneapolis, MN 55411-3436
Mailing address
1401 W River Rd
A
Minneapolis, MN 55411-3436
Phone (763) 439-8892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A238663000 | Other | MN | UMPI |
National Provider Directory
National Provider DirectoryLocations
1401 W River Rd
#A
Minneapolis, MN 55411
Phone (763) 439-8892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1063782464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W RIVER RD",
"address_2": "A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554113436",
"telephone_number": "763-439-8892",
"fax_number": "612-529-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W RIVER RD",
"address_2": "A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554113436",
"telephone_number": "763-439-8892",
"fax_number": "612-529-5839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEBOUNDTRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "GADID",
"authorized_official_first_name": "FOUZIA",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-439-8892",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMPI",
"identifier": "A238663000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.