Intimate Moments Entertainment LLC

Primary specialty

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

Legal business name

INTIMATE MOMENTS ENTERTAINMENT LLC

Doing business as

imetransport

Practice address

320 4TH St NW Ste 200222
Faribault, MN 55021-5152

Phone

(507) 210-2149

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Jeff Wade

Title

Ceo

Phone

(507) 210-2149

Specialties & licenses 1

Addresses

Other names 2

• imetransport Doing business as
• Freight Train Realty Former legal business name

Locations

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1295573384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 4TH ST NW STE 200222",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215152",
            "telephone_number": "507-210-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 4TH ST NW STE 200222",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215152",
            "telephone_number": "507-210-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE MOMENTS ENTERTAINMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-210-2149"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "imetransport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freight Train Realty",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Noaman Mohamed Ibrahim
• Yassir K Ibrahim
• Alexandra Elizabeth Illg, DPT
• Independent School District #656
• Infinia at Faribault
• Iowa Hearing Associates LLC
• Ayan Ismael
• Bilan Ismael
• Ryan Iverson, PT
• J J Faribo Taxi

• Non-emergency Medical Transport (VAN) in Faribault, MN
• Providers in Faribault, 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 Oct 15, 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.