Organization Active NPI

Carevan Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • New Lisbon, WI
National Provider Identifier
1164675583
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CAREVAN TRANSPORTATION, LLC
Practice address
N7294 Trophy Dr
New Lisbon, WI 53950-9561
Phone
(608) 547-1364
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Birgit Olson
Title
Member/Owner
Phone
(608) 547-1364

Specialties & licenses 1

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

Addresses

Primary practice location

N7294 Trophy Dr
New Lisbon, WI 53950-9561

Mailing address

N7294 Trophy Dr
New Lisbon, WI 53950-9561
Phone (608) 547-1364

Other identifiers 1

IdentifierTypeStateIssuer
41502100MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1164675583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7294 TROPHY DR",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539509561",
            "telephone_number": "608-547-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7294 TROPHY DR",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539509561",
            "telephone_number": "608-547-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVAN TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BIRGIT",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "608-547-1364"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41502100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lisbon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.