NPIMap

Organization Active NPI

Aboveboard Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Brooklyn Park, MN
National Provider Identifier
1346549664
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
STS # 376061 Issued in MN
Legal business name
ABOVEBOARD TRANSPORTATION, LLC
Practice address
5116 Brookdale Dr N
Brooklyn Park, MN 55443-3007
Phone
(763) 390-4141
NPI assigned
Mar 25, 2011
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Fred Katwalo
Title
President
Phone
(763) 390-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X STS # 376061 MN Primary

Addresses

Primary practice location

5116 Brookdale Dr N
Brooklyn Park, MN 55443-3007

Mailing address

7964 Brookdale Dr
# 334
Brooklyn Park, MN 55445
Phone (763) 390-4141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1346549664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 BROOKDALE DR",
            "address_2": "# 334",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "763-390-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433007",
            "telephone_number": "763-390-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVEBOARD TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "KATWALO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-390-4141"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "STS # 376061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.