Organization Active NPI

Moonlight Transportation Corporation

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1124495817
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MOONLIGHT TRANSPORTATION CORPORATION
Practice address
2522 Central Ave NE
Suite 5
Minneapolis, MN 55418-3726
Phone
(612) 483-9565
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Mr. Elmi Hussein Hashi
Title
President
Phone
(612) 483-9565

Specialties & licenses 1

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

Addresses

Primary practice location

2522 Central Ave NE
Suite 5
Minneapolis, MN 55418-3726

Mailing address

2522 Central Ave NE
Suite 5
Minneapolis, MN 55418-3726
Phone (612) 483-9565

National Provider Directory

National Provider Directory

Locations

2522 Central Ave NE
Ste 5
Minneapolis, MN 55418
Phone (612) 483-9565

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1124495817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 CENTRAL AVE NE",
            "address_2": "SUITE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183726",
            "telephone_number": "612-483-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 CENTRAL AVE NE",
            "address_2": "SUITE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183726",
            "telephone_number": "612-483-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT TRANSPORTATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "ELMI",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-483-9565",
        "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": []
}

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 Aug 28, 2015; 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.