New Life Transportation LLC

Primary specialty

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

License

343900000X Issued in ID

Legal business name

NEW LIFE TRANSPORTATION LLC

Practice address

127 E Main St
113
Emmett, ID 83617-2931

Phone

(208) 789-7391

Fax

(208) 498-4405

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By 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. Jeremy Dean Kildow

Title

Owner

Phone

(208) 789-7391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1083065957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST",
            "address_2": "113",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172931",
            "telephone_number": "208-789-7391",
            "fax_number": "208-498-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST",
            "address_2": "113",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172931",
            "telephone_number": "208-789-7391",
            "fax_number": "208-498-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "KILDOW",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-789-7391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ID",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Emmett, ID
• Providers in Emmett, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.