Lrha Transportation LLC

Primary specialty

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

License

W603262567309 Issued in MN

Legal business name

LRHA TRANSPORTATION LLC

Practice address

1923 Covington LN
Eagan, MN 55122-2684

Phone

(952) 457-5897

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Yacob Fissehatsion

Title

Owner

Phone

(952) 457-5897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1245786763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 COVINGTON LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222684",
            "telephone_number": "952-457-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 COVINGTON LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222684",
            "telephone_number": "952-457-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRHA TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "FISSEHATSION",
        "authorized_official_first_name": "YACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-457-5897"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "W603262567309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Eagan, MN
• Providers in Eagan, 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 Aug 26, 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.