Active NPI
Lakeview Transportation
- Non-emergency Medical Transport (VAN)
- Golden Valley, MN
National Provider Identifier
1225494610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 376634
- Legal business name
- LAKEVIEW TRANSPORTATION
- Practice address
- 1710 Douglas Dr N Ste 145
Golden Valley, MN 55422-4355 - Phone
- (763) 273-4888
- NPI assigned
- Jan 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abdikarim Mohamed
- Title
- Owner
- Phone
- (612) 707-9530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 376634 | MN | Primary |
Addresses
Primary practice location
1710 Douglas Dr N Ste 145
Golden Valley, MN 55422-4355
Mailing address
1710 Douglas Dr N Ste 145
Golden Valley, MN 55422-4355
Phone (763) 273-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711617200 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1225494610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 DOUGLAS DR N STE 145",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224355",
"telephone_number": "763-273-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 DOUGLAS DR N STE 145",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224355",
"telephone_number": "763-273-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "ABDIKARIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-707-9530",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MN",
"license": "376634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "711617200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.