Alta Moda Medical Services LC

Primary specialty

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

Legal business name

ALTA MODA MEDICAL SERVICES LC

Doing business as

Alta Moda Medical Transportation LC

Practice address

708 J Ave NE
Suite 200
Cedar Rapids, IA 52402-4520

Phone

(319) 365-1382

Fax

(319) 365-1429

NPI assigned

Dec 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Abdiaziz N Hajiabdirahman

Title

Manager

Phone

(319) 310-9128

Specialties & licenses 1

Addresses

Other names 1

• Alta Moda Medical Transportation LC Doing business as

Tax ID family

Alta Moda Home Healthcare LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alta Moda Medical Services LC

  • In Home Supportive Care Agency
  • Cedar Rapids, IA
  • NPI 1316368160
  NPD tax ID

Locations

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1093136780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 6TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042128",
            "telephone_number": "319-310-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 J AVE NE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024520",
            "telephone_number": "319-365-1382",
            "fax_number": "319-365-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MODA MEDICAL SERVICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "HAJIABDIRAHMAN",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-310-9128",
        "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": "Alta Moda Medical Transportation LC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdulrahman Abdulaziz Almaghlooth
• Lindsy Marie Alons, M.D
• Justin Alpers
• Mohammad Ass'Ad Alshami, M.D
• Tracy A Alshouse, PAC
• Alta Moda Medical Services LC
• Vijay Aluri, MBBS
• Lilliana Alvarez-Gonzalez, BCBA
• Abdullah A. Alwahdani, MD
• Amenity Healthcare, LLC

• Non-emergency Medical Transport (VAN) in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Non-emergency Medical Transport (VAN) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.