Active NPI
Alis Aquilae L.L.C.
- Non-emergency Medical Transport (VAN)
- North Liberty, IA
National Provider Identifier
1447083027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- ALIS AQUILAE L.L.C.
- Practice address
- 8 Jaro Way Apt 301
North Liberty, IA 52317-9840 - Phone
- (319) 853-3300
- NPI assigned
- Aug 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bill Mukuna Tshitambala
- Title
- Owner/Member
- Phone
- (319) 853-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
8 Jaro Way Apt 301
North Liberty, IA 52317-9840
Mailing address
8 Jaro Way Apt 301
North Liberty, IA 52317-9840
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1447083027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 JARO WAY APT 301",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 JARO WAY APT 301",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179840",
"telephone_number": "319-853-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIS AQUILAE L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "TSHITAMBALA",
"authorized_official_first_name": "BILL",
"authorized_official_middle_name": "MUKUNA",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "319-853-3300"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.