Organization Active NPI

Breath of Life Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1518199199
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BREATH OF LIFE TRANSPORTATION LLC
Practice address
6400 W Capitol Dr
Sutie 102
Milwaukee, WI 53216-2156
Phone
(414) 393-9882
Fax
(414) 393-9982
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Ms. Latresha Robinson, RN
Title
Adminstrator/Owner
Phone
(414) 736-9775

Specialties & licenses 1

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

Addresses

Primary practice location

6400 W Capitol Dr
Sutie 102
Milwaukee, WI 53216-2156

Mailing address

6400 W Capitol Dr
Suite 102
Milwaukee, WI 53216-2156
Phone (414) 393-9882

Other identifiers 1

IdentifierTypeStateIssuer
100003308MedicaidWI

National Provider Directory

National Provider Directory

Locations

6400 W Capitol Dr
Ste 102
Milwaukee, WI 53216
Phone (414) 393-9882

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1518199199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W CAPITOL DR",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162156",
            "telephone_number": "414-393-9882",
            "fax_number": "414-393-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W CAPITOL DR",
            "address_2": "SUTIE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162156",
            "telephone_number": "414-393-9882",
            "fax_number": "414-393-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LATRESHA",
        "authorized_official_title_or_position": "ADMINSTRATOR/OWNER",
        "authorized_official_telephone_number": "414-736-9775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003308",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.