Organization Active NPI

Homeboundtransportation

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1063782464
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jan 3, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A238663000OtherMNUMPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.