Organization Active NPI

Handivanofrochesterllc

  • Non-emergency Medical Transport (VAN)
  • Rochester, MN
National Provider Identifier
1336380682
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HANDIVANOFROCHESTERLLC
Practice address
1500 1St Ave NE
Suite115
Rochester, MN 55906-4170
Phone
(507) 281-3600
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Eric S Habberstad, MEMBER
Title
Shareholder/Ceo
Phone
(507) 281-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MN Primary

Addresses

Primary practice location

1500 1St Ave NE
Suite115
Rochester, MN 55906-4170

Mailing address

1500 1St Ave NE
15001St Ave N.E.
Rochester, MN 55906-4170
Phone (507) 281-3600

National Provider Directory

National Provider Directory

Locations

1500 1st Ave NE
#15001
Rochester, MN 55906

1500 1st Ave NE
Ste 115
Rochester, MN 55906
Phone (507) 281-3600

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1336380682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE",
            "address_2": "15001ST AVE N.E.",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-281-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE",
            "address_2": "SUITE115",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-281-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDIVANOFROCHESTERLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HABBERSTAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SHAREHOLDER/CEO",
        "authorized_official_telephone_number": "507-281-3600",
        "authorized_official_credential": "MEMBER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.