Vida Transportation Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

VIDA TRANSPORTATION SERVICE LLC

Practice address

5501 Nicollet Ave Apt 205
Minneapolis, MN 55419-1946

Phone

(206) 708-0478

NPI assigned

May 1, 2023

Organization subpart

No

Name

Abdisamad Khalif AliNPI 1194410068

Title

Owner

Phone

(206) 708-0478

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdisamad Khalif Ali

  • Driver
  • Minneapolis, MN
  • NPI 1194410068
  NPD Authorized official

• Abdisamad Ali Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2023.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684540800000",
    "number": "1538857230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NICOLLET AVE APT 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191946",
            "telephone_number": "206-708-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NICOLLET AVE APT 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191946",
            "telephone_number": "206-708-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDISAMAD",
        "authorized_official_middle_name": "KHALIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-708-0478"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abdisamad Ali",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Minneapolis, MN
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.