Silver Lake Transportation, LLC

Primary specialty

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

License

K961122159916 Issued in MN

Legal business name

SILVER LAKE TRANSPORTATION, LLC

Practice address

151 Silver Lake Rd NW Unit 200B
New Brighton, MN 55112-8107

Phone

(651) 246-0844

NPI assigned

Jan 26, 2016

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Wasuge

Title

President

Phone

(651) 246-0844

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1356708085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 200B",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128107",
            "telephone_number": "651-246-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 200B",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128107",
            "telephone_number": "651-246-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "WASUGE",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-246-0844"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "K961122159916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shedivy
• Zach Shivers, RDN
• Jay Scott Sidor, LMFT
• Silver Lake Chiropractic Inc
• Silver Lake Smiles Family Dentistry
• Silvercrest Properties, LLC
• Larry Silverness
• Stacy Smith Donley, MA, LMFT
• Ernest Garnark Smith Jr.
• Richard Paul Smith, LADC

• Non-emergency Medical Transport (VAN) in New Brighton, MN
• Providers in New Brighton, 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 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.