Organization Active NPI

Kandaka Cargo Xpress LLC

  • Non-emergency Medical Transport (VAN)
  • Coralville, IA
National Provider Identifier
1629815717
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KANDAKA CARGO XPRESS LLC
Doing business as
Kandaka cargo xpress llc
Practice address
198 1St St
Coralville, IA 52241-2675
Phone
(210) 773-4947
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mr. Ahmed Eltom
Title
Ceo
Phone
(210) 773-4947

Specialties & licenses 1

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

Addresses

Primary practice location

198 1St St
Coralville, IA 52241-2675

Mailing address

198 1St St
Coralville, IA 52241-2675
Phone (210) 773-4947

Other names 1

  • Kandaka cargo xpress llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1629815717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 1ST ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412675",
            "telephone_number": "210-773-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 1ST ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412675",
            "telephone_number": "210-773-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDAKA CARGO XPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "ELTOM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-773-4947",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kandaka cargo xpress llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.