Organization Active NPI

Servall Heathcare LLC

  • Transportation Network Company
  • Brooklyn Park, MN
National Provider Identifier
1407553860
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
SERVALL HEATHCARE LLC
Doing business as
SERVALL TRANSPORTATION
Practice address
4210 Willow Rd N
Brooklyn Park, MN 55443-1200
Phone
(702) 888-2633
Fax
(612) 688-5234
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Mr. Joshua J Godhart
Title
Director
Phone
(818) 925-6016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

4210 Willow Rd N
Brooklyn Park, MN 55443-1200

Mailing address

4210 Willow Rd N
Brooklyn Park, MN 55443-1200
Phone (702) 888-2633

Other names 1

  • SERVALL TRANSPORTATION Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1407553860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 WILLOW RD N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431200",
            "telephone_number": "702-888-2633",
            "fax_number": "612-688-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 WILLOW RD N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431200",
            "telephone_number": "702-888-2633",
            "fax_number": "612-688-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVALL HEATHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "GODHART",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-925-6016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVALL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2023; 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.