Active NPI
MM Medical Transportation
- Non-emergency Medical Transport (VAN)
- Louisville, KY
National Provider Identifier
1619648680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MM MEDICAL TRANSPORTATION
- Practice address
- 3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238 - Phone
- (502) 716-4590
- NPI assigned
- Sep 21, 2021
- 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
- Mohamed L Brahim
- Title
- Owner
- Phone
- (502) 281-2882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238
Mailing address
3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238
Phone (502) 716-4590
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1619648680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 BRECKENRIDGE LN APT 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203238",
"telephone_number": "502-716-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 BRECKENRIDGE LN APT 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203238",
"telephone_number": "502-716-4590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MM MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "BRAHIM",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-281-2882"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.