Whiteline Resources LLC

Primary specialty

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

Legal business name

WHITELINE RESOURCES LLC

Doing business as

Whitline Resources LLC

Practice address

186 N Cholla Dr
Pearce, AZ 85625-4065

Phone

(520) 643-0610

NPI assigned

Nov 24, 2023

Last updated

Nov 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lilay Tesfamariam Asghedom

Title

Member

Phone

(520) 643-0610

Specialties & licenses 1

Addresses

Other names 1

• Whitline Resources LLC Doing business as

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1073388682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 N CHOLLA DR",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856254065",
            "telephone_number": "520-643-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 N CHOLLA DR",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856254065",
            "telephone_number": "520-643-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITELINE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "ASGHEDOM",
        "authorized_official_first_name": "LILAY",
        "authorized_official_middle_name": "TESFAMARIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-643-0610",
        "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": "Whitline Resources LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Pearce, AZ
• Providers in Pearce, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

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