Fab 5 Taxi LLC

Primary specialty

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

License

M333176220109 Issued in MN

Legal business name

FAB 5 TAXI LLC

Doing business as

Fab 5 Taxi

Practice address

712 40TH Ave N
Ave North
Minneapolis, MN 55412-1706

Phone

(612) 298-5324

NPI assigned

Sep 3, 2016

Organization subpart

No

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

Authorized official

Name

Charles Lee Stewart

Title

Owner/Driver

Phone

(612) 298-5324

Specialties & licenses 1

Addresses

Other names 1

• Fab 5 Taxi Doing business as

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1174070411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 40TH AVE N",
            "address_2": "AVE NORTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121706",
            "telephone_number": "612-298-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 40TH AVE N",
            "address_2": "AVE NORTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121706",
            "telephone_number": "612-298-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAB 5 TAXI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DRIVER",
        "authorized_official_telephone_number": "612-298-5324"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "M333176220109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fab 5 Taxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adaolisa Ezechukwu
• Karen Marie Ezuck, OT
• Hayat A Ezzat, PHARMD
• F&F Health, Inc
• Robert J Faas, LP
• Kassandra Fabbri, PHARMD
• Stephanie Jo Faber, LICSW
• Noelle Andrea Ventura Fabie, M.D.
• Face 2 Face Interpreting, Inc.
• Lauren Jane Facente

• Non-emergency Medical Transport (VAN) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.