Organization Active NPI

Wellcare Nemt LLC

  • Non-emergency Medical Transport (VAN)
  • Bettendorf, IA
National Provider Identifier
1649096207
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WELLCARE NEMT LLC
Doing business as
Wellcare NEMT LLC
Practice address
1012 16TH 1/2 St
Bettendorf, IA 52722-4215
Phone
(563) 639-6202
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Niyonsaba Vumilia
Title
Owner
Phone
(563) 639-6202

Specialties & licenses 1

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

Addresses

Primary practice location

1012 16TH 1/2 St
Bettendorf, IA 52722-4215

Mailing address

1012 16TH 1/2 St
Bettendorf, IA 52722-4215
Phone (563) 639-6202

Other names 1

  • Wellcare NEMT 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": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1649096207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 16TH 1/2 ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224215",
            "telephone_number": "563-639-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 16TH 1/2 ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224215",
            "telephone_number": "563-639-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "VUMILIA",
        "authorized_official_first_name": "NIYONSABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-639-6202"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare NEMT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.