Organization Active NPI

Lakeview Transportation

  • Non-emergency Medical Transport (VAN)
  • Golden Valley, MN
National Provider Identifier
1225494610
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
376634 Issued in MN
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

Updated by the provider on Jan 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
711617200MedicaidMN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.