Organization Active NPI

Stellar Vip Limousine, LLC

  • Non-emergency Medical Transport (VAN)
  • Sioux Falls, SD
National Provider Identifier
1467738237
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
10120953ST Issued in SD
Legal business name
STELLAR VIP LIMOUSINE, LLC
Practice address
609 N Kiwanis Ave
Sioux Falls, SD 57104-1819
Phone
(605) 335-4041
NPI assigned
Oct 25, 2011
Organization subpart
Yes
Parent organization
STELLAR VIP LIMOUSINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Tom C Olson
Title
Member
Phone
(605) 335-4041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 10120953ST SD Primary

Addresses

Primary practice location

609 N Kiwanis Ave
Sioux Falls, SD 57104-1819

Mailing address

609 N Kiwanis Ave
Sioux Falls, SD 57104-1819
Phone (605) 335-4041

Other names 1

  • Stellar Mobility Services Doing business as

National Provider Directory

National Provider Directory
Part of
Stellar Vip Limousine LLC

Locations

609 N Kiwanis Ave
Sioux Falls, SD 57104
Phone (605) 335-4041

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1467738237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041819",
            "telephone_number": "605-335-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041819",
            "telephone_number": "605-335-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR VIP LIMOUSINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STELLAR VIP LIMOUSINE, LLC",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "605-335-4041"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SD",
            "license": "10120953ST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Mobility Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.