Active Transportation Services LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

ACTIVE TRANSPORTATION SERVICES LLC

Practice address

3815 Burquest LN
Brooklyn Center, MN 55429-3028

Phone

(612) 876-2440

NPI assigned

Sep 19, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mofoba Musa Kanneh, MOFOBA MUSA KANNEH

Title

Transportation Manager

Phone

(612) 876-2440

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1245067503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 BURQUEST LN",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293028",
            "telephone_number": "612-876-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 BURQUEST LN",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293028",
            "telephone_number": "612-876-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KANNEH",
        "authorized_official_first_name": "MOFOBA",
        "authorized_official_middle_name": "MUSA",
        "authorized_official_title_or_position": "TRANSPORTATION MANAGER",
        "authorized_official_telephone_number": "612-876-2440",
        "authorized_official_credential": "MOFOBA MUSA KANNEH"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Atieno Aboge
• Abundant Life Home Health Care
• Acacia Care LLC
• Accessible Home Health Care, LLC
• Angela Ann Ackerman, MA, LPCC
• Alyssa Adams
• Catherine Adamson
• Faduma Adem
• Advanced Behavioral Health, Inc
• Advocare, LLC

• Transportation Network Company in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Transportation Network Company in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.