Kilimanjaro LLC

Primary specialty

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

Legal business name

KILIMANJARO LLC

Practice address

1222 14TH Ave E
Menomonie, WI 54751

Phone

(715) 338-9840

Fax

(715) 386-2819

NPI assigned

Apr 19, 2010

Organization subpart

Yes

Parent organization

KILIMANJARO LLCAs reported in NPPES

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

Authorized official

Name

Elijah Mosiria Omweno

Title

President

Phone

(715) 338-9840

Specialties & licenses 1

Addresses

Part of

Kilimanjaro LLC

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1386960193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 14TH AVE E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-338-9840",
            "fax_number": "715-386-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 14TH AVE E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-338-9840",
            "fax_number": "715-386-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILIMANJARO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KILIMANJARO LLC",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "OMWENO",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "MOSIRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-338-9840"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.