NPIMap

Organization Active NPI

Life Time Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Burnsville, MN
National Provider Identifier
1093075350
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
48856120002
Legal business name
LIFE TIME TRANSPORTATION LLC
Practice address
2100 Cliff Rd E Apt 217
Burnsville, MN 55337-1309
Phone
(612) 483-4439
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Mr. Farhan S Handulle
Title
Manager
Phone
(612) 483-4439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 48856120002 Primary

Addresses

Primary practice location

2100 Cliff Rd E Apt 217
Burnsville, MN 55337-1309

Mailing address

3818 Stinson Blvd
Suite B
St Anthony, MN 55421
Phone (612) 483-4439

National Provider Directory

National Provider Directory

Locations

3818 Stinson Blvd
Ste B
St Anthony, MN 55421

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1093075350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 STINSON BLVD",
            "address_2": "SUITE B",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-483-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLIFF RD E APT 217",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371309",
            "telephone_number": "612-483-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "HANDULLE",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-483-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": "48856120002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.