Organization Active NPI

Five Star Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Columbia Heights, MN
National Provider Identifier
1508379868
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FIVE STAR TRANSPORTATION SERVICES LLC
Practice address
4111 Central Ave NE Ste 209
Columbia Heights, MN 55421-2957
Phone
(763) 229-5470
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Merga Boonaa
Title
Operations Manager
Phone
(763) 777-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

4111 Central Ave NE Ste 209
Columbia Heights, MN 55421-2957

Mailing address

4111 Central Ave NE Ste 209
Columbia Heights, MN 55421-2957
Phone (763) 229-5470

National Provider Directory

National Provider Directory

Locations

4111 Central Ave NE
Ste 209
Columbia Heights, MN 55421
Phone (763) 229-5470

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1508379868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 209",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212957",
            "telephone_number": "763-229-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 209",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212957",
            "telephone_number": "763-229-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "BOONAA",
        "authorized_official_first_name": "MERGA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "763-777-0707"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.