Bolat Incorporated

Primary specialty

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

Legal business name

BOLAT INCORPORATED

Practice address

1959 Shawnee Rd Ste 215
Eagan, MN 55122-1220

Phone

(651) 207-5290

Fax

(651) 330-4795

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Omololu Allison

Title

Director

Phone

(909) 205-9809

Specialties & licenses 3

Addresses

Other names 1

• Bethel Care Services Doing business as

Tax ID family

Bethel Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bolat Incorporated

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hastings, MN
  • NPI 1841676459
  NPD tax ID

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1306203146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 UPPER 157TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245121",
            "telephone_number": "651-207-5290",
            "fax_number": "651-330-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 SHAWNEE RD STE 215",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221220",
            "telephone_number": "651-207-5290",
            "fax_number": "651-330-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "OMOLOLU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-205-9809",
        "authorized_official_name_prefix": "Ms."
    },
    "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": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Lakes Eye Care, PLLC
• Lauren Boelter, LICSW
• Cole Boerema
• Nicholas Carl Boetticher, M.D.
• Garrett Hans Jonathan Boggs, MD
• Evan Boldt, PT
• Jason Bolen, D.C.
• Nathan Lucas Bomm, DDS
• Isabelle Bond
• Kaylee Audrey Bond, MA LPCC

• 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 Jan 25, 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.